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Owner's name, address, phone number and email address

(Must be local) Emergency contacts name, address, phone number

Vet practice's name, address and phone number

Dog's details - name, bread, colour, sex, neutered or entire, date of last season if applicable, microchip number

Dog's current diet - brand of food, number of meals a day, amount per meal. Can your dog have treats.

Is your dog currently on medication? If yes, please detail the name of medication and reason, dosage and times to administer

Does your dog have any restrictions on exercise? Are you happy for you dog to follow our daily routine.

Date of last worm and flea treatments, date of most recent vaccination and kennel cough

Is your dog insured, if so, name of provider and policy number

Has your dog shown any destructive, aggressive or escapist behaviour? If so, please detail

Arrival date and time, Departure date and time

Was you adopt your dog from Chasing Tails dog rescue?

Do you have a discount code? If so, please enter it below.