Booking Application Form / For office use only
Price per day
New customer
New customer entered on system
Bookings entered in diary
Entered on booking sheet
Deposit Paid
/

CUSTOMER DETAILS

Owners Name
Address
Email Address
Home Tel / Mobile No.

BOARDING DATES

Stay 1 Stay 2 Stay 3

Date of drop off / Date of Collection / Date of drop off / Date of Collection / Date of drop off / Date of Collection

DOG 1 DETAILS DOG 2 DETAILS

Dogs Name / Date of Birth / Date of Birth
Breed or description / Sex / Sex
Medication and
medical conditions
Any other important information?

FEEDING REQUIREMENTS

How many times a day and what times?
Type/ make of food
(e.g. dry/ tinned)

EMERGENCY CONTACT DETAILS (of someone we could contact in the unlikely event of an emergency)

VETERINARY DETAILS (your usual veterinary practice and telephone number)
Off Site Walks (£12 inc VAT) / Chauffeur Service (POA) / Wash, Brush & Dry (POA)
CONSENT FOR KENNELLING OF DOGS FROM THE SAME HOUSEHOLD
I consent to my dogs sharing a kennel together. Signed

NO DOGS WILL BE ACCEPTED WITHOUT A CURRENT VACCINATION CERTIFICATE

I have read and accepted the terms and conditions shown on Mimram Kennels ltd website, and displayed in the reception area, I understand that while every care will be given to my animals, they are boarded entirely at my own risk. I authorise Mimram Kennels ltd to call a veterinary surgeon on my behalf should it be necessary. I understand that Mimram Kennels ltd are unable to guarantee the return of any toys or bedding that I provide for my dogs stay.

Mimram Kennels ltd reserves the right to dispose of animals not collected within 15 days of the stated departure date if no communication from the owner, or the owners agent is received, and if efforts to contact the owners fail.

Mimram Kennels ltd charge by the day and not by the night (e.g. a one night would be charged at two days and a seven night stay would be charged at eight days).

I enclose a deposit of £______which I understand is not returnable if the booking is cancelled and that the boarding fees are

due for the full booking should I collect my animal(s) before the date of departure.

Signed (Customer)______Dated______Signed (Mimram Kennels) ______

Mimram Boarding Kennels, 1 Poplars Green, Nr. Hertford, Hertfordshire, SG14 2NQ. Telephone 01438 715116 Proprietors – B&E Carley Email - Web - www.mimramkennels.co.uk