Coomera Boarding Admission Form Step 1 of 4 25% Dates for your pet/s StayCheck In Date* Check Out Date* Please Note, We do not admit or discharge on Sundays or Public holidaysClient DetailsName First Last Address Street Address Suburb State Postcode Email Phone NumbersHome PhoneMobile 1Mobile 2IF WE CANNOT CONTACT YOU - WHO ELSE CAN WE CALL IN CASE OF EMERGENCY?Second Contact First Last Relationship (i.e. Brother)*MotherFatherBrotherSisterFriendSonDaughterHusbandWifePhone Pets DetailsAdditional cats on next page of this form.NameBreedAgeDesexedYesNoSexMaleFemalePet Health InformationDate Vaccination was given Vaccination TypeWe require vaccinations to be administered no later than 12 monhts before pets stayUpload a photo of your Vaccination certificate or please make sure you bring a copy in with you. Drop files here or Gave Flea control on Need flee Control on arrivalYesNoWe are able to administer flea control on arrival for $15Intestinal Worming is up to dateYesNoNeed worming on arrivalYesNoWe are able to administer a worming tablet on arrival for $17Special RequirementsPlease Note: The following changes apply for injection and medications. Injections fees are $5:00 per day (e.g. Insulin injections for diabetics). Tableting fees are $3:00 per day. (e.g. Thyroid medication, Heart medication etc). Health Requirements (if any)Medication NameDoseTimeAMPMBoth3 times dailyMedication NameDoseTimeAMPMBothOther or MoreFoodStandard DietYesNoSpecial DietOur standard is Royal Canin premium Dry food morning and night.The Boarding LoungeNoYesThis menu is our standard menu plus Tuna in the evening at a cost of $2 extra per day.Special DietsIf your pet/s are on a special diet or you would like to bring your own food.Food NameTypeWet FoodDry FoodTimeAMPMBothFood NameTypeWet FoodDry FoodTimeAMPMBothIf you are bring your own food please read the following information. Click HereDescriptions of items left in our careCarrier/ Cat BoxBeddingToysOther Please note while every care is taken, we take no responsibility for lost or damaged items left. Multiple Pet/s*NoYesIf you have more than one pet coming to stay with us we will need their details as well.Pet 2 DetailsNameBreedAgeDesexedYesNoSexMaleFemalePet Health InformationDate Vaccination was given Vaccination TypeWe require vaccinations to be administered no later than 12 monhts before pets stayUpload your Vaccination certificate Drop files here or Gave Flea control on Need flee Control on arrivalYesNoWe are able to administer flea control on arrival for $15Intestinal Worming is up to dateYesNoNeed worming on arrivalYesNoWe are able to administer a worming tablet on arrival for $17Special RequirementsPlease Note: The following changes apply for injection and medications. Injections fees are $5:00 per day (e.g. Insulin injections for diabetics). Tableting fees are $3:00 per day. (e.g. Thyroid medication, Heart medication etc). Special Health Requirements (if any)Medication NameDoseTimeAMPMBoth3 Times DailyMedication NameDoseTimeAMPMBoth3 Times DailyFoodStandard DietYesNoSpecial DietOur standard is Royal Canin premium Dry food morning and night.The Boarding LoungeNoYesThis menu is our standard menu plus Tuna in the evening at a cost of $2 extra per day.Special DietsFood NameTimeAMPMBothTypeWet FoodDry FoodFood NameTypeWet FoodDry FoodTimeAMPMBothIf you are bring your own food please read the following information. Click HereDescriptions of items left in our carePet Carrier / Cat BoxBeddingToysOther Please note while every care is taken, we take no responsibility for lost or damaged items left. Other services while staying with us Grooming Nail Trims Surgery Teeth Cleaning Anything else we should know about your Pet/s?Please read our accommodation agreement by Clicking Here Accommodation Agreement* I agree to the accommodation agreement CaptchaSign HereWe will get you to sign here when you check your pet/s in.
