Paddington Pups Customer Information and Agreement Form ~ 1 Dog Families.
Primary Owner's Details
Name;*
Mobile Phone:*
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Other Phone Number:
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E-mail:*
Address:*
Emergency Contact Details (different to Primary Owners)
Emergency Contacts Name:*
Emergency Contacts Phone:*
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Emergency Contacts Other Phone:
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Dog's Details
Dog's name :*
Breed:*
Gender:*
D.O.B:*
Vet Practice:*
Contact Number:*
Allergies:
Annual Vaccination Date (C5):*
Desexed:*
If 'No' Why?:
Special Food Requirements/Prohibited Foods:
If your dog has personality quirks or certain situations that may cause him/her to display aggression please provide us with the details


How did you hear about us? *
Please let us know who referred you

Agreement to Terms and Conditions.

  • Paddington Pups agrees to provide a secure, clean & caring environment

  • Your dog will be played with and cuddled throughout the day

  • In the event that your dog is unwell, we will contact you immediately on the phone numbers that you have provided below
Agreement *
By entering your name you are agreeing to the above terms and conditions. Name:
Or, Please sign in store to agree to these terms and conditions
When should we book you in for your first day at Doggy Daycare*
Office Use Only: Agreed Online Y/N. Sign in-store Y/N. Printed Y/N. Entered into Computer Y/N.
After you click 'Submit' the details you have entered will be cleared and a message that the form has been submitted should appear, a copy of the form will be emailed to Paddington Pups and to you too. If the Doesn't happen please scroll back up the screen and look for any messages in red font which highlight any sections you may have missed. Fill them in and click on the submit button again. Do NOT refresh the screen,or all your data will be lost.  Thank you.