Pet card dogs OLD

Pet card for dogs

Please fill out the form below as completely as possible. Note that fields with a red asterisk * are obligatory.

About you

Name *

First

Last

Street address *

City *

Postcode *

Phone 1 *

Phone 2 *

Email *

In case of emergency

Phone where you can be reached *

Another phone where you can be reached *

Local emergency contact: name and telephone
This should be someone who can pay a bill or is able to make a decision about surgery or euthanasia. In the event of surgery or euthanasia Fido's playground will accept the advice of the veterinary surgeon.

Name *

Telephone *

Someone else with access to your home (name 1 + contact) *

Someone else with access to your home (name 2 + contact) *

About your pets

Pet 1

Name and breed *

M/Chip *

Age *

Gender *

Male Female

Castrated or spayed? *

Yes No

Date of last heat *

Medical conditions and medication times, amounts, location *

Pet 2 (if applicable)

Name and breed *

M/Chip *

Age *

Gender *

Male Female

Castrated or spayed? *

Yes No

Date of last heat *

Medical conditions and medication times, amounts, location *

Pet 3 (if applicable)

Name and breed *

M/Chip *

Age *

Gender *

Male Female

Castrated or spayed? *

Yes No

Date of last heat *

Medical conditions and medication times, amounts, location *

Pet 4 (if applicable)

Name and breed *

M/Chip *

Age *

Gender *

Male Female

Castrated or spayed? *

Option 1 Option 2 Option 3

Date of last heat *

Medical conditions and medication times, amounts, location *

Your vet

Vet's name *

Vet's address *

Telephone *

Emergency telephone *

Care instructions

Feeding instructions and location *

Location of pet accessories *

Is the dog allowed treats? *

Yes No

Can the dog be let off the lead? *

Yes No

Is your pet aggressive with other dogs? *

Yes No

Is your pet aggressive with people? *

Yes No

Does the dog attack livestock/cats, etc? *

Yes No

In the event of you not returning from your time away, have arrangements been made for rehoming your pet? *

Yes No

If so, please provide details *

In the event that your trip is delayed, do you agree to pay the extra pet sitter costs as per the rate agreed upon? *

Yes No

Is the dog/pet insured? *

Yes No

If so, please provide details *

In the event of a flea or worm infestation, may I treat the dog at your expense? *

Yes No

Contact details for plumber or landlord *

Other duties (e.g. water plants) *

Special Instructions (e.g. special pet likes and dislikes, toys, grooming, commands known, etc.) *

Submit Pet Card

Pet card for dogs

﻿About you﻿

In case of emergency

About your pets

Your vet

Care instructions

About you