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New Client Form
Registering with Coastal Kennels means you can make online bookings for the boarding kennels or doggy daycare.
All new customers must bring their dog(s) in for at least one daycare visit prior to boarding with us for the first time
Full Name
*
Address
*
Email Address
*
Phone Number
*
Emergency Contact Name
*
Emergency Contact Number
*
Dogs Name
*
Breed
*
Weight
*
Coat Colour
*
Sex
*
Unfixed Male
Neutered Male
Unfixed Female
Spayed Female
Parvo Record
*
Choose File
No file chosen
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Kennel Cough Record
*
Choose File
No file chosen
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Lepto Record
*
Choose File
No file chosen
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Photo of Dog
Choose File
No file chosen
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Dogs Health
Allergies
Anal Gland Issue
Arthiritis
Blind/Poor Vision
Deaf/Poor Hearing
Diabetic
Difficulty Standing
Epileptic
Heart Problems
Hip Dysplasia
Hot Spots
Incontinence
Kidney Disease
Moles & Warts
Pancreatitis
Prone to Ear Infections
Sensitive Skin
Tooth Decay
Tumours/Cysts
None of the above
Dogs Temperament
Anxiety
Cage Aggressive
High Energy
History of Biting
Leash Required
Nervous Soiler
Aggression with Dogs
Aggression with People
Tends to Chew
Timid/Shy
Vocal/Barker
None of the above
Any notes to add?
I had read and agreed to the terms and conditions and boarding rules
*
I've read and agree
You can find our T's&C's and boarding rules at the bottom of our website
REGISTER
