Bookings subject to availability.
Your Name (required)
Your Phone (required)
Your Email (required)
Your Address (required)
Emergency Contact (required)
Would you like your dog’s photo put on Facebook / Website etc. YesNo
Arrival Date
Arrival Time Please note our pickup and drop off times are between Monday and Saturday: 10am-11am and 5pm-5.30pm
Collection Date
Collection Time
Has your dog boarded with us before? YesNo
Where did you hear about us?
Dog 1
Name Date of Birth Sex Breed Neutered? YesNo
Dog 2
Dog 3
Dog 4
Vet Practice Name
Vet Address
Vet Phone No.
Yearly Vaccinations, including Kennel Cough, must be completed at least 10 days before first Boarding Date
Last Vaccination Date
Last Canine Kennel Cough Vaccination Date
Has your Dog been treated for fleas & worms in the last 3 months and date given? YesNo
Please list any current health problems or concerns you may have with your dog
Is your dog on any medication or is having at home vet care? If so please list in detail the name of medications, dosage and instructions for care
List what medications you brought with you and administration instructions
Do you want your dog exercised in the enclosed free play area with other dogs? YesNo
Is your dog aggressive towards other dogs? YesNo
Has your dog ever bitten somebody? YesNo
Has your dog ever bitten another dog? YesNo
Is your dog toilet trained? YesNo
Is your dog crate trained? YesNo
If crate trained do you want dog kept in a crate at night? (limited no. if available) YesNo
Can your dog jump over a 5ft fence? YesNo
you must supply your own food for health & safety reasons.
What food do you feed you dog (wet/dry/brand)
Amount of food per feed
Does your dog have food allergies or any snacks or foods he/she is NOT allowed to have?
By boarding my dog, I, the owner, agree to all the Fern Boarding Kennels Terms and Conditions & Boarding Rates. (required)
