New Client

PLEASE CLICK SUBMIT WHEN YOU FINISH THE FORM, THIS FORM IS NOT THE BOOKING, YOU NEED TO FOLLOW THE NEXT STEPS AFTER COMPLETING AND SUBMITTING THE FORM

Name of Owner*

First Last

Email*

Home Address*

Street Address Address Line 2 City

Phone*

Phone 2

In case Phone 1 is unavailable.

Number of Dogs*

Dog 1*

Name Sex Breed

Dog 1*

Age Neutered Yes/No Weight

Dog 2*

Name Sex Breed

Dog 2*

Age Neutered Yes/No Weight

Dog 3*

Name Sex Breed

Dog 3*

Age Neutered Yes/No Weight

Dog 4*

Name Sex Breed

Dog 4*

Age Neutered Yes/No Weight

Dog 5*

Name Sex Breed

Dog 5*

Age Neutered Yes/No Weight

Where did you hear about us:*

Medication and instructions:

Veterinary Expenditure*

maximum amount if we cannot get hold of you to confirm

Escape behaviour:*

YES
NO

eg jumping fence

My dog is well-socialised*

YES
NO
I DO NOT KNOW

(meaning your dog goes to places where it has interaction with other dogs) this does not mean that your dog regularly visits the same dog of a friend...

Anything else about your dog that we should know:

*

It is my responisibility/ choice to use tick treatments if needed.

*

I have provided Windhoek Pet Lodge with the correct information about my dog to the best of my knowledge.

*

I accept all Terms and Conditions AND Cancelation Policy

Date*

Signature*

New Client

Windhoek Pet Lodge Information Form

Dog Boarding

Address

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