Bark & Breakfast Bridgend

Dog Boarding Registration Form

Arrival & Departure

Arrival Date & Time: Departure Date & Time:

Owner Information

Full Name: Address: Telephone Number(s): Email address:

Emergency Contact Information (N.B. this should be a person not travelling with you)

Full Name: Address: Telephone Number(s): Email address:

Pet Details

Name: Age: Sex: Neuter Status: Date of last season (if appropriate): Breed & description: Microchip number: Date of vaccination (proof required): Date of last flea treatment: Date of last worming: Insured? If so, details including policy number:

Pet’s usual Veterinary Practice

Name: Address: Contact number:

Medical History

Please provide details of your pet's current or previous health issues. If your dog requires medication, please list the dosage and frequency required to be administered whilst boarding:

Feeding regime

Type of food: Quantity: Frequency: Treats allowed? Please state which type(s) and frequency:

Behavioural issues

Does your dog get on well with other dogs/ animals: Is your dog food or toy aggressive?: Is your dog destructive in the home?: Does your dog travel well in a vehicle?: List any known behavioural issues and how they are best managed:

Exercise Requirements

Does your pet have any specific exercise requirements, or are any adaptations required?

Bedtime Routine

Does your pet have any particular bedtime routine? Are they crated? (n.b. crates must be provided if so).

Grooming Requirements

Does your pet require any basic grooming? I.e. eye cleaning, brushing of long fur?

Social media/advertising

Are you happy for us to share photos of your dog on our social media? It's completely fine if not!