Waggy’s Registration Form YOUR DETAILS Title Name * First Name Last Name Mobile * Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Emergency contact name * Please do not add yourself as your emergency contact First Name Last Name Emergency contact's phone number * Collection Password * Additionally, please create a password for collection, and share it with the above persons. How did you hear about us? Please state the name of your referee here if applicable BOOKING DATES AND TIMES BOARDING CUSTOMERS: Drop off on the first day of your booking must be between 10am – 1pm/ 4pm -7pm, while the latest you can pick your dog up is 10am on the last day of your booking before you are then charged another day. DAYCARE CUSTOMERS: Drop off is between 7am – 1pm, while pick up is between 4pm – 7pm. Early drop offs/late pickups must be organised and will result in extra charges or an additional day’s booking. Arrival Date * Arrival Time * Departure Date * Departure Time * Kennel Type Please state if you would like a 'STANDARD' or 'FAMILY' kennel. If you are unsure, please leave blank, submit your form, and then contact us for clarification. Standard Family YOUR DOG'S DETAILS Dog's name * Age * Breed/description * Colour * Gender * Male Female Neutered/Spayed * Yes No Next Season Microchip Number Behaviour Information * Please give as much information on your dog's behaviour (see examples below). Should you have concerns over your dog's behaviour/ability to be in kennels, we advise organising a visit beforehand, or a shorter stay as a tester. Dietary Information Please give as much information on your dog's dietary needs, notably: Medical Information * Please give as much information on your dog's medical history, notably: Are your dog's vaccinations up-to-date? * We need to see evidence of up-to-date vaccinations upon check-in, including for kennel cough. Failure to do so could result in your dog(s) being refused admittance. Yes No Are your dog's worming treatments up-to-date? * Yes No Time spent outside of UK If your dog has spent time living outside of the UK, please provide us with more details. YOUR VET'S DETAILS Name of registered vets Address * Address 1 Address 2 City State/Province Zip/Postal Code Country INSURANCE OUR INSURANCE POLICY - PLEASE READ CAREFULLY At Waggy’s, our insurance covers certain scenarios but not others. Consequently, all customers should inform themselves of the scenarios we cover (available in our terms and conditions), and, in signing up, understand that all other scenarios that require treatment will be covered by the customer, either from your their funds or from their own insurance. Thus, it is essential that you provide us with the following information should we need to act as your agent in the unlikely case of seeking medical treatment for your dog. If you HAVE INSURANCE then please complete Section 1. If you DO NOT HAVE INSURANCE then please complete section two. INSURANCE - SECTION 1 Insurance provider and policy number Additional cost * Should treatment exceed my insurance cover, and Waggy's are unable to contact me while you’re away, please indicate how much additional money you would authorise Waggy’s to spend on treatment: Waggy's as an agent Should treatment exceed my insurance cover and the above amount, and Waggy's are unable to contact me while I'm away, then I authorise Waggy’s to act as an agent on my behalf, which in the worst-case scenario, may require giving permission for surgery and even euthanasia. Please not that not responding 'YES' may affect our ability to serve your booking: Yes INSURANCE - SECTION 2 Additional cost If you do not have insurance, and we are unable to contact you while you’re away, please indicate how much money you would authorise Waggy’s to spend on treatment: Waggy's as an agent Should treatment exceed the above amount, and Waggy's are unable to contact me while I'm away, then I authorise Waggy’s to act as an agent on my behalf, which in the worst-case scenario, may require giving permission for surgery and even euthanasia. Please not that not responding 'YES' may affect our ability to serve your booking: Yes EMERGENCY VETS Emergency vets * In the event of an emergency, our priority will be to take your dog(s) to your own registered vet which may incur a charge or £30, £40, or £50, depending on location. However, where this is not practically possible, we will take your dog(s) to our registered vets (Belgrave House in Linton). There will be a surcharge of £30.00 per visit to cover our expenses. By choosing 'Yes', you give your full permission for us to use Belgrave House if needed, and to be liable for any cost resulting from treatment of your dog, whether it be at Belgrave House, or any associated practices. Yes No STATEMENTS I agree that my dog is sociable and all behavioural information provided is accurate and true: Yes No I agree for my dog(s) to be socialised in our central play area with sociable dogs from other households: * Yes No I agree to cover any medical treatment to my dog(s) that arise from scenarios that are not covered by Waggy’s insurance: * Yes No I agree for my dog(s) to be given dog-friendly treats and toys, including dog-friendly peanut butter, and said treats and toys being left in their kennel overnight: * Yes No I agree for bedding to be left in my dog(s) kennel overnight, and assume responsibility should he/she suffer any adverse effects from chewing said bedding: * Yes No TERMS AND CONDITIONS * By ticking the box below, you agree to abide by Waggy's Terms and Conditions on every occasion your dog(s) is (are) in our care. You can find a link to our full Terms and Conditions below this form, please read them carefully. I am in full agreement of the Terms and Conditions of Waggy's Thank you! You can find our full Terms and Conditions here
