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NEW DAWN
Home
About
Who we are
Our Vision, Mission & Core Values
Working with Muddy Paws
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Gallery of New Dawn Customers
Our policies and procedures
>
Client area - Login required
Insurance and safety
Blog
Services
Make an inquiry
Holiday let
>
Building the Shepherd Hut
Dog Walking & Drop Ins
>
Booking form - dog walking
Overnight boarding & day care
>
Booking Form - Day Care or Overnight Stays
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Pet Owner Consent Form
The following consents are required as a part of The Animal Welfare (Licensing of Activities Involving Animals) (England) Regulations 2018. The ‘Off Lead Disclaimer Form’ should be used in conjunction with this form if a dog is being walked off lead, to ensure your insurance is valid. This form must be completed for each pet.
Owner name
*
Pet name
*
1. I give consent for my dog to be taken to the following veterinarian should it require treatment:
Vet name
*
Vet address
*
Vet telephone number
*
If this vet is not available or my dog cannot be seen at this vet, I give my consent for my dog to be treated at the vet that they are registered with, namely:
Penmellyn Vets
Station Rd, St Columb Major, Saint Columb TR9 6BX
www.newquayvets.com
| Telephone: 01637 871695 | Out of hours: 01637 880307
I agree
*
Agree
I disagree
*
Disgree
Action:
You will be required to complete the Veterinary Release Form
2. I give consent for any medication described on my booking form, or any medication prescribed to my dog by a vet in my absence, to be administered to my dog by the person caring for my dog.
*
I agree
I disagree
Action:
If medication is required, you will be required to complete the Medication Permission Form
3. If my dog requires preventative treatment, I give my consent that this is given as described in the Vaccination Log, under the direction of a veterinarian.
*
I agree
I disagree
Action:
You will be required to complete the Vaccination Log Form
4. If there is evidence of external parasites on my dog during their stay (i.e. fleas, ticks, lice, etc) I give my consent for my dog to be treated with an appropriate product authorised by the Veterinary Medicines Directorate and licensed for used in the UK. Treatment will be discussed with a veterinarian before administering.
*
I agree
I disagree
Action:
You will be required to complete the Veterinary Release Form
5. I give consent for my dog to be boarded in the same property as other dogs, not from the same household. (There will be a mandatory trial familiarisation period with the other dogs)
*
I agree
I disagree
6. I give consent that my dog can be kept in the same rooms/area as any other dogs from the same household.
*
I agree
I disagree
7. I give my consent for my dog to be allowed access to outside areas (i.e. gardens) with other dogs apart from those from the same household.
*
I agree
I disagree
8. I give my consent for the agreed programme for enrichment for my dog including socialisation, grooming and play. This can include appropriate toys and/or feeding enrichment such as scatter feeders unless veterinary advice suggests otherwise.
*
I agree
I disagree
Details of the agreed programme are:
Enrichment activities within the home and garden including Kong wobblers,
paddling pool,
enrichment games using hide and find treats using, toys, lick mats, snuffle mats for hide and find and ball pit.
9. I give my consent for my dog to be walked outside of the home environment/garden.
*
I agree
I disagree
10. I give my consent for my dog to be walked with other dogs not from the same household. (No more than 4 dogs are permitted to be walked together at one time). Dogs will be familiarised with each other beforehand.
*
I agree
I disagree
11. I give my consent for my dog to be let off of the lead (an off-lead disclaimer is also required).
*
I agree
I disagree
Action:
If agreed, please complete the Off The Lead Permissions Form
12. I give consent for my dog to be housed in a crate (only used in exceptional circumstances) for no longer than one hour in any eight hour period in a crate, unless crates are used as a part of their normal routine.
*
I agree
I disagree
Print name
*
Signature (dog owner)
*
Max file size: 20MB
Take a photo of your signature and upload the image
Date
*
Submit
Home
About
Who we are
Our Vision, Mission & Core Values
Working with Muddy Paws
How to book with us
Gallery of New Dawn Customers
Our policies and procedures
>
Client area - Login required
Insurance and safety
Blog
Services
Make an inquiry
Holiday let
>
Building the Shepherd Hut
Dog Walking & Drop Ins
>
Booking form - dog walking
Overnight boarding & day care
>
Booking Form - Day Care or Overnight Stays
Prices
Contact
Leave us a review
Privacy Policy
Terms and Conditions