INDIANA – Cattery and Kennels

Quality Boarding For Cats and Dogs

CTRA. DEL MARQUESADO, CAMINO PALOMA DE LA PAZ 22, “INDIANA”,

11130 CHICLANA, CADIZ.

TEL:    956 535560, MOBILE:   618 277636

www.indiana.com.es

 

CLIENT DETAILS FORM CATTERY

 

OWNERS DETAILS

 

 

 

SURNAME                     ………………………………………………………………….

 

FIRST NAME(S)            ………………………………………………………………….

 

ADDRESS                      ………………………………………………………………….

                                   

                                        ………………………………………………………………….

 

EMAIL                            ………………………………………………………………….

 

TELEPHONE              HOME             ………………………………………………….

                                    WORK             ………………………………………………….

                                    MOBILE          …………………………………………………..

 

In the event that you are going abroad on holidays, if possible, provide a contact telephone number in that country.            ………………………………………………….

 

Should the owner of the cattery decide that the cat should receive veterinary attention the owner agrees to pay the expenses of the Veterinary Surgeon.

 

I have read and accept the terms and conditions detailed on the Boarding Information form. I confirm that I am the registered owner of the dog.

 

 

Signed:………………………………………………                        Date:…………….

 

 

 

CAT DETAILS

 

 

CAT’S NAME                        …………………………………………………………

 

 

 

BREED / DESCRIPTION       …………………………………………………………

MALE / FEMALE                   …………………………………………………………

DATE OF BIRTH                   …………………………………………………………

MICROCHIP NO.                  …………………………………………………………

 

VETERINARY CLINIC          …………………………………………………………

            CONTACT VET         …………………………………………………………

            PHONE NO.               …………………………………………………………

 

FOOD DETAILS

            BRAND / TYPE            …………………………………………………………

            EATING TIMES            ..……………………………………………………….

            QTY PER MEAL           ..........………………………………………………….

LIKES                            ...………………………………………………………

DISLIKES                      ......................................................................................

 

 

MEDICAL

 

LAST WORMING DATE              ………………………………………………….

 

 

CURRENT FLEA & TICK

PREVENTION PROGRAM           ………………………………………………….

DATE OF LAST TREATMENT     ……………….………………………………… 

ANY MEDICAL CONDITIONS   …………………………………………….........

                                                        ………………………………………………….

                                                        ………………………………………………….

                                                        ………………………………………………….

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                                                        ………………………………………………….

 

 

 

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