BOOKING APPLICATION FORM

Please print and return to: Longcross Kennels, Longcross Rd,

Chertsey, Surrey, KT16 0DN

 

PLEASE NOTE: All UK Bank Holidays will inncur a DOUBLE CHARGE.

 

I accept the conditions of boarding as shown in your prospectus and wish to board my dog(s)/cat(s)/other pets.

 

Date From ……………………….To ……………………… No. of dogs ……………….No. of cats …………………

 

Owners name ……………………………………………………………………………

 

Address ……………………………………………………………………………………………………………………………………………………………………………………………

 

………………………………………………………………………………………………………………………………Tel: ……………………………………………………………………

 

Temporary address if known, or contact number of relative/friend in case of emergency

 

……………………………………………………………………………………………………………………………………………………………………………………………………………

 

Vets name …………………………………………………………………………………………………… Vets Tel: …………………………………………………………………

 

Pets name ………………………………………………………….Breed ……………………………………… Colour …………………………… Age………………………

 

Do you require a collection and/or delivery service (please tick)    yes      no

 

Do you require insurance   yes      no 

 

Have you boarded with us before    yes      no

 

Deposit enclosed £ …………………………………………  

 

Vaccination certificate enclosed     yes      no   

 

Children under the age of 16 years will not be permitted to view the kennels     

 

I understand to abide by the rules and regulations laid down by the management of Longcross Kennels, and I also understand that while every care will be given to my dog(s)/Cat(s)/other pets, I am boarding it/them at my own risk. I authorise you to call a veterinary surgeon on my behalf if you consider it advisable.

 

Signed …………………………………………………………………………………………………………………..

 
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