Cadleigh Tails Consent Form

Name*

This field is mandatory

Address*

This field is mandatory

Mobile Number*

This field is mandatory

Alt Phone Number

Email Address*

This field is mandatory

Furry Friend Name*

This field is mandatory

Gender*

This field is mandatory

Age*

This field is mandatory

Microchip Number*

This field is mandatory

Breed*

This field is mandatory

Click if Neutered or Spayed

Click if Vaccinated

Date of their last vaccination(s)

Worm and Flea Treated?*

This field is mandatory

Dates of Last Treatments*

This field is mandatory

Registered Vet Name*

This field is mandatory

Vet Address*

This field is mandatory

Vet Contact Number*

This field is mandatory

Medical and Medicine Information

How does your dog behave around the house and are there things that comfort them or upset them?*

This field is mandatory

Click if Toilet Trained

Where does your dog sleep at night?*

This field is mandatory

I agree that in the case of suspected injury or illness to my dog, a veterinary surgeon may be contacted to examine my dog and provide treatment*

This field is mandatory

I understand that where possible, this will be with my registered veterinarian but in an emergency, I give consent for Cadleigh Tails' Registered Vet to provide this service*

This field is mandatory

I also give consent for Cadleigh Tails to administer any prescribed treatment the vet considers advisable*

This field is mandatory

I accept that all fees for consultation, tests and treatment, will be at my expense*

This field is mandatory

I understand and accept that if my dog is found to have fleas or worms after arriving, Cadleigh Tails will source treatment from the vet and this cost will be borne by me*

This field is mandatory

I understand and accept that, if my dog were to become so unwell that euthanasia was required, this will proceed in my absence if it is in the best interests of my dog*

This field is mandatory

I give consent for Cadleigh Tails' Registered Vet (Woodlands) contacting my Registered Vet for my dog's medical history*

This field is mandatory

I give my consent for my dog to mix with, eat with, go for walks with, and sleep with other dogs whilst boarding at Cadleigh Tails*

This field is mandatory

I give my consent for Cadleigh Tails to take my dog outside of the home and garden environment for walking provided they are transported safely and securely*

This field is mandatory

I give my consent for my dog to be allowed off the lead outside of the home and garden environment*

This field is mandatory

Is there anything further you would like to tell us at Cadleigh Tails?

Date

I hereby agree that this data will be stored and processed for the purpose of boarding my dog safely. I am aware that I can revoke my consent at any time. I understand that this form, when completed with my personal information is considered to have been digitally signed once submitted to confirm my consent. *

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Thank You! We are looking forward to your stay!

First time booking