Booking Form Please ensure you have checked availability with the relevant area before completing the booking form New Owner Booking Form Step 1 of 3 33% Which area do you require?(Required) Isle of Wight Cardiff Gloucestershire Holiday datesHoliday start YYYY dash MM dash DD Holiday End YYYY dash MM dash DD Owner detailsOwner detailsOwner name First Last Address Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country TelephoneEmail Where did you hear about Wagging Tails?How many dogs do you have?Dog Details to be Filled in :(Required)123Dog 1 DetailsNameDate of birth MM slash DD slash YYYY Gender Male Female Size – please delete as appropriate Puppy (under 12 months) Small/Medium (up to 20.5kg) Large (over 20.5kg) BreedColourNeutered/Spayed Yes No FoodFeeding detailsExercise routinePulls on lead Yes No Recall Yes No Recall wordsHouse-trained? Yes No Toilet triggers / encouragementAggressive to humans Yes No Aggressive to other animals Yes No If ‘yes’, please give detail of aggressionUnsettled by (e.g. fireworks, hoover, car etc Yes No Barks or whines day or night? If ‘yes’, please give details Yes No If your dog is unsettled at night or barks or whines day or night? If ‘yes’, please give detailsJumps over fences Yes No Jumps on furniture Yes No Jumps at strangers Yes No Runs off when let off lead Yes No Chews? If ‘yes’, please give details Yes No Chews? If ‘yes’, please give detailsChases animals? If ‘yes’, please give details Yes No Chases animals? If ‘yes’, please give detailsWhere does your dog sleep?Child friendly (6 and over) Yes No Dog friendly Yes No Cat friendly Yes No Heath and Medication Details Takes medication ? Yes No If ‘yes’, please list medication type and dosageDate of most recent vaccinations MM slash DD slash YYYY Date of most recent de-worming treatment MM slash DD slash YYYY Date of most recent anti-flea treatment MM slash DD slash YYYY Date of most recent kennel cough treatment MM slash DD slash YYYY Any allergies? If ‘yes’, please give details Yes No Any allergies? If ‘yes’, please give detailsMicrochip numberInsurance details Dog 2 DetailsNameDate of birth MM slash DD slash YYYY Gender Male Female Size – please delete as appropriate Puppy (under 12 months) Small/Medium (up to 20.5kg) Large (over 20.5kg) BreedColourNeutered/Spayed Yes No FoodFeeding detailsExercise routinePulls on lead Yes No Recall Yes No Recall wordsHouse-trained? If ‘no’, please give details Yes No Toilet triggers / encouragementAggressive to humans Yes No Aggressive to other animals Yes No If ‘yes’, please give detail of aggressionUnsettled by (e.g. fireworks, hoover, car etc Yes No Barks or whines at night? If ‘yes’, please give details Yes No Barks or whines at night? If ‘yes’, please give detailsJumps over fences Yes No Jumps on furniture Yes No Jumps at strangers Yes No Runs off when let off lead Yes No Chews? If ‘yes’, please give details Yes No Chews? If ‘yes’, please give detailsChases animals? If ‘yes’, please give details Yes No Chases animals? If ‘yes’, please give detailsWhere does your dog sleep?Child friendly (6 and over) Yes No Dog friendly Yes No Cat friendly Yes No Heath and Medication DetailsTakes medication ? Yes No If ‘yes’, please list medication type and dosageDate of most recent vaccinations MM slash DD slash YYYY Date of most recent de-worming treatment MM slash DD slash YYYY Date of most recent anti-flea treatment MM slash DD slash YYYY Date of most recent kennel cough treatment MM slash DD slash YYYY Any allergies? If ‘yes’, please give details Yes No Any allergies? If ‘yes’, please give detailsMicrochip numberInsurance details Dog 3 DetailsNameDate of birth MM slash DD slash YYYY Gender Male Female Size – please delete as appropriate Puppy (under 12 months) Small/Medium (up to 20.5kg) Large (over 20.5kg) BreedColourNeutered/Spayed Yes No FoodFeeding detailsExercise routinePulls on lead Yes No Recall Yes No Recall wordsHouse-trained? If ‘no’, please give details Yes No House-trained? If ‘no’, please give detailsToilet triggers / encouragementAggressive to humans Yes No Aggressive to other animals Yes No If ‘yes’, please give detail of aggressionUnsettled by (e.g. fireworks, hoover, car etc Yes No Barks or whines at night? If ‘yes’, please give details Yes No Barks or whines at night? If ‘yes’, please give detailsJumps over fences Yes No Jumps on furniture Yes No Jumps at strangers Yes No Runs off when let off lead Yes No Chews? If ‘yes’, please give details Yes No Chews? If ‘yes’, please give detailsChases animals? If ‘yes’, please give details Yes No Chases animals? If ‘yes’, please give detailsWhere does your dog sleep?Dog friendly Yes No Cat friendly Yes No Bedding Yes No Child friendly (6 and over) Yes No Heath and Medication Details Takes medication ? Yes No If ‘yes’, please list medication type and dosageDate of most recent vaccinations MM slash DD slash YYYY Date of most recent de-worming treatment MM slash DD slash YYYY Date of most recent anti-flea treatment MM slash DD slash YYYY Date of most recent kennel cough treatment MM slash DD slash YYYY Any allergies? If ‘yes’, please give details Yes No Any allergies? If ‘yes’, please give detailsMicrochip numberInsurance detailsVet's DetailsName of VetVet address Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Vet phoneEmergency Contact Details This person must not live with you, needs to be in the UK and not on holiday with youContact nameContact address Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Contact phoneContact email Contact relationship to youAgreementPlease read, sign and date below.All bookings, either confirmed or pending a 'sniffing out meeting' are subject to Wagging Tails Terms and Conditions. Submission of a Booking Form constitutes acceptance of these terms and your continued use of our services confirms your acceptance of the terms in force each time you use Wagging Tails. Our Terms and Conditions are available on our website.text(Required) I hereby confirm that I am the owner of the above mentioned dog and that I authorise Wagging Tails and their Carers to act as guardian during my absence and to take any action they consider necessary to protect the health and welfare of the above mentioned dog. text(Required) I also confirm that the information supplied is correct and that any additional information that Wagging Tails should be aware of is also supplied and Wagging Tails will be made aware of any changes. text(Required) I give Wagging Tails and/or their Carers permission to transport my dog to the above-mentioned vet or the closest vet to the Carer boarding my dog/s. I understand that Wagging Tails and the Carer assumes no responsibility for the loss of the dog and is released from any liability related to transportation, treatment and costs for which I am fully responsible. I agree to reimburse in full the detailed costs upon collection of my dog. This booking form was sent from the Wagging Tails website.Name:Date: MM slash DD slash YYYY
