APPLICATION FOR REGISTRATION AT BO’S PLACE

All boarding arrangements are tentative until an agreement has been signed and accepted (10/2014)

Your Name: Mr/Mrs/Ms Surname: First Name:

Address:

Postcode:

Telephone Number: Landline: Mobile:

Email:

Where did you hear about Bo’s Place?

ABOUT YOUR DOG

Dog’s Name: Is the dog: M / F Microchipped? YES /NO

Size: Small/Medium/Large Age: Spayed/Neutered: YES/NO

Breed and Description of Dog:

Is your dog a rescue dog? YES/NO Brief details:

FEEDING: Please outline routine and quantities for your pet’s mealtimes.

HEALTH: Please provide details of any health issues/medication to be taken.

Name/Address of Vet:

Vaccination Record: YES/NO (This must be left with Bo’s Place during boarding period)

Is your dog insured? YES/NO Name of Insurer:

Command words that your dog responds to:

In which room does your dog usually sleep?

Does your dog pull while on the lead? YES/NO

Can your dog be left alone in the house/car for short periods of time? YES/NO

Please give details:

Is your pet likely to: (please circle answer)

jump onto furniture? Often Occasionally Never

jump up at people? Often Occasionally Never

bark? Often Occasionally Never

whine? Often Occasionally Never

chew furniture? Often Occasionally Never

chew other things? Often Occasionally Never

mess or urinate in the home? Often Occasionally Never

scratch carpets or doors? Often Occasionally Never

be possessive or protective over

food, toys, treats, etc? Often Occasionally Never

If you have answered ‘often’ or ‘occasionally’ to any of these questions, please give details:

Does your pet show aggression towards:

dogs? Often Occasionally Never

adults/children? Often Occasionally Never

If you have answered ‘often’ or ‘occasionally’ to any of these questions, please give details:

Signed ………………………………………….. Dated ………………………….

Thank you for choosing Bo’s Place where we do our utmost to keep your dog

happy, safe and comfortable while you are apart.

BO’S PLACE, Villalee, 35 Llysfaen Road, Old Colwyn, Colwyn Bay, Conwy, North Wales, LL29 9HB

Email: Tel: 01492 512 118 Mob. 07771 824 656