client-enrollment | Tails&Trails PPS

Owners Information

Your Full Name

Address

Emergency Contact Name

Email Address

Mobile Number

Emergency Contact Address

Emergency Contact Number

Pet's Information

Pet's Name

Date of Birth

Pet's Micro-chip Details

Pet's Breed

Pet's Information 2

Pet's Name

Date of Birth

Pet's Micro-chip Details

Pet's Breed

Pet's Information 3

Pet's Name

Date of Birth

Pet's Micro-chip Details

Pet's Breed

Vet's Information

Vet’s Name

Vet’s Phone Number

Vet’s Address

Feeding Requirements

How much food shall we give your pet?

At what times shall we feed your pet?

Medical Requirements

Please give details of any medication that your pet might require including the dosage and time of day that it should be administered (a log of any medication administered to the pet will be kept by Tails & Trails Pet Services).

Additional Information

Any precautions that we should take?

Any limitations for your pet inside or out of the house?

Any command words used?

Additional Comments

Please give any other information that you think would be useful to enable us to give your dog the best possible care while under the care of Tails & Trails PPS

Disclaimer & Waiver of Liability

The information I have given in this application is true, correct and complete to the best of my knowledge.

I have read and agree to abide by the Terms and Conditions for services received from Tails & Trails Perth Pet Services. I hereby indemnify Tails & Trails Perth Pet Services and their staff against liability of any kind whatsoever arising from my dog’s participation in any services offered by Tails & Trails Perth Pet Services.

Your Full Name

Key Holder Disclaimer & Waiver of Liability

I agree to Tails & Trails Perth Pet Services having the right to allow my dog off the lead and understand that all terms and conditions remain the same.

I have read and agree to abide by the Terms and Conditions for services received from Tails & Trails Perth Pet Services. I hereby indemnify Tails & Trails Perth Pet Services and their staff against liability of any kind whatsoever arising from my dog’s participation in any services offered by Tails & Trails Perth Pet Services.

Your Full Name

Key Holder Disclaimer & Waiver of Liability

I have read and agree to abide by the Terms and Conditions for services received from Tails & Trails Perth Pet Services. I understand that this form acts as permission to hold keys to my property, which I have provided willingly. I hereby indemnify Tails & Trails Perth Pet Services and their staff against liability of any kind whatsoever arising from damage or loss of any property.

Your Full Name

Enrolment Form

Owners Information

Pet's Information

Pet's Information 2

Pet's Information 3

Vet's Information

Feeding Requirements

Medical Requirements

Additional Information

Additional Comments

Disclaimer & Waiver of Liability

Key Holder Disclaimer & Waiver of Liability

Key Holder Disclaimer & Waiver of Liability