INDIANA –
Cattery and KennelsQuality 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 KENNELS
OWNERS DETAILS
SURNAME ………………………………………………………………….
FIRST NAME(S) ………………………………………………………………….
ADDRESS ………………………………………………………………….
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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. ………………………………………………….
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. Should the management of INDIANA decide that the dog should receive veterinary attention, the owner agrees to pay the expenses of the Veterinary Surgeon
Signed:………………………………………… Date:…………………………….
DOG DETAILS
DOG’S NAME …………………………………………………………
BREED / DESCRIPTION …………………………………………………………
MALE / FEMALE …………………………………………………………
DATE OF BIRTH …………………WEIGHT. …………………………
MICROCHIP NO. …………………………………………………………
VETERINARY CLINIC …………………………………………………………
CONTACT VET …………………………………………………………
PHONE NO. …………………………………………………………
FOOD DETAILS
BRAND / TYPE …………………………………………………………
EATING TIMES ………………………………………………………….
QUANTITY PER MEAL …………………………………………………
PECULIAR EATING HABITS ………………………………………….
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FEED SEPARATELY …………………………………………………………..
CASTRATED OR SPAYED ………………………………………………….
LAST HEAT ………………………………………………….
LAST WORMING DATE ………………………………………………….
CURRENT FLEA & TICK
PREVENTION PROGRAMME ………………………………………………….
DATE OF LAST TREATMENT ……………….………………………………….
ANY MEDICAL CONDITIONS …………………………………………….........
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DOGS RESPONSE TO GROOMING ………………………………………….
/ VET EXAMINATIONS ………………………………………….
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DETAILS OF ANY DIFFICULTIES YOU EXPERIENCE WITH YOUR DOGS BEHAVIOUR ………………………………………………………………….
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PLAY / EXERCISE TIMES – DO YOU WANT YOUR DOG TO PLAY WITH OTHER DOGS OR SEPARATELY? …………………………………………………..
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