Boarding Consent Form

I AGREE TO PAY THE OUTLINED DEPOSIT ON THIS FORM UPFRONT AND UNDERSTAND THAT THE FULL BALANCE OF THE INVOIICE MUST BE SETTLED WHEN I PICK UP MY PET AT THE STATED TIME OF DEPARTURE.

Date of Arrival

Date of arrival

Date of departure

Total number of nights:

Deposit

Quoted 50% deposit

Photo Consent

Do you give permission for us to take and publish photos & videos of your pet on media platforms?

Yes

Social Media Handle

What is your social media handle (so we can tag you)?

Patient ID

Patient ID as supplied by surgery

Pet Name

Your pets' name.

Pet Breed

Your pets' breed.

Your Contact Email(Required)

Your best contact email

Enter Email Confirm Email

Vaccinations

All animals boarding with us will receive a free general health check by one of our veterinarians. Should there be any health-related issues with my pet, I authorise the clinic to carry out any treatment that may be deemed necessary whilst Daisy is under their care.

All animals boarding with us must be up to date with their vaccinations.
Do you require us to administer any vaccinations today?

Yes

No to vaccination

Date of last vaccination:

Yes to Vaccinations - Which?

If you require vaccinations for your pet, please list the vaccinations here

Yes to vaccination - Cost?

If you require vaccinations for your pet, please enter the quoted cost here:

Items admitted with patient:

Items admitted with patient.
Please be aware we are NOT responsible for the loss of any personal items (leads, collars, toys etc) admitted with pets. We recommend NOT leaving any personal items with your pet, we have plenty of toys and blankets for them here.

Diet

Is your pet on a particular diet?

Yes

Diet Instructions

If yes, please provide your usual feeding instructions:

Medications

Is your pet on medications?

Yes

Medication details

If your pet IS on medications, please provide details for dosage & instructions?

Allergies

Does your cat have any known allergies?

Yes

Your Name(Required)

Your name:

First Last

Emergency Contact Number

Emergency Contact Number:

Address

Your address

Street Address Address Line 2 Suburb State Post Code Country

Date(Required)

Signature(Required)

Please sign this form.

Total

Procedure Total:

Credit Card(Required)

Pay With Credit Card:

Card Details

Cardholder Name

This field is for validation purposes and should be left unchanged.

Boarding Consent Form

St Peters

60 Princes Hwy,
St Peters NSW 2044
Phone. (02) 9516 0234

Bellevue Hill

Shop 1/196-204 Victoria Rd,
Bellevue Hill NSW 2023
Phone. (02) 9389 7534

Surry Hills

419 Cleveland St,
Redfern NSW 2016
Phone. (02) 9699 3951

Vet Opening Hours*

St. Peters

Bellevue Hill

Surry Hills

Boarding Consent Form

St Peters

60 Princes Hwy, St Peters NSW 2044 Phone. (02) 9516 0234

Bellevue Hill

Shop 1/196-204 Victoria Rd, Bellevue Hill NSW 2023 Phone. (02) 9389 7534

Surry Hills

419 Cleveland St, Redfern NSW 2016 Phone. (02) 9699 3951

Vet Opening Hours*

St. Peters

Bellevue Hill

Surry Hills

60 Princes Hwy,
St Peters NSW 2044
Phone. (02) 9516 0234

Shop 1/196-204 Victoria Rd,
Bellevue Hill NSW 2023
Phone. (02) 9389 7534

419 Cleveland St,
Redfern NSW 2016
Phone. (02) 9699 3951