Test page Testing the form Booking Form Name * First Last * Last Phone * Email * Are you an existing customer? * Yes No Address * Address Line 1 Line 1 Line 2 Line 2 City City State State Postal Code Postal Code Arrival Date: * Radio Button * AM PM Departure Date: * Radio Button * AM PM Please consider the following regular closure times when making your booking: Tuesday and Saturday afternoon and Sunday Morning. Pet information: For more than one guest click on "Add" Type of pet * Dog Cat Gender: * Male Female Name of your pet * Breed * Colour * Age * Is your pet desexed? * Yes No Is your pet vaccinated? (C5 for dogs and F3 for cats) * Yes No Add Remove The name of your Pet's Vet Accommodation: * Dog Standard Cat Standard (See above links for information on accommodation and the Rates page for charges.) Extra Information. Anything else we need to know e.g. medications, special food, scared of storms, doesn't like other pets, climbs fences, digs, etc. Play time $10.00 each 1 Play Time 2 Play Times 3 Play Times 4 Play Times 5 Play Times 6 Play Times None Please select from the dropdown how many playtimes you would like to purchase. Exercise walk $10.00 each 1 Exercise walk 2 Exercise walks 3 Exercise walks 4 Exercise walks 5 Exercise walks 6 Exercise walks None Please select from the dropdown how many walks you would like to purchase. Yard time $10.00 each 1 Yard time 2 Yard times 3 Yard times 4 Yard times 5 Yard times 6 Yard times None Please select from the dropdown how many walks you would like to purchase. Brush time $10.00 1 Brush Time 2 Brush Time 3 Brush Time 4 Brush Time 5 Brush Time None Please select from the dropdown how many Bath-times you would like to purchase. Activity Package (Consisting of 6 exercises of your choice) $45.00/per package * Yes No Please select exercises and how many, make sure that the total number of exercises are 6. Play Time 0 1 Play Time 2 Play Times 3 Play Times 4 Play Times 5 Play Times 6 Play Times Exercise Walk 0 1 Exercise Walk 2 Exercise Walk 3 Exercise Walk 4 Exercise Walk 5 Exercise Walk 6 Exercise Walk Yard Time 0 1 Yard Time 2 Yard Time 3 Yard Time 4 Yard Time 5 Yard Time 6 Yard Time Brush Time 0 1 Brush Time 2 Brush Time 3 Brush Time 4 Brush Time 5 Brush Time 6 Brush Time Freshen up shampoo / Bubble bath prior to departure $12.00 None 1 Bubble Bath 2 Bubble Bath 3 Bubble Bath 4 Bubble Bath 5 Bubble Bath 6 Bubble Bath Please select from the dropdown how many packages you would like to purchase. Groom bath (Hydro Bath with herbal Shampoo and Fido Flea treatment included plus blow dry) $25.00 1 Groom Bath 2 Groom Bath 3 Groom Bath 4 Groom Bath 5 Groom Bath 6 Groom Bath None Please select from the dropdown how many packages you would like to purchase. Flea Treatment $25.00 1 Flea Treatment 2 Flea Treatment 3 Flea Treatment 4 Flea Treatment 5 Flea Treatment 6 Flea Treatment None Please select from the dropdown how many packages you would like to purchase. How did you hear about us? Friend / Family Vet Facebook Web search Local Directories Yellow Pages Sign Other I have read the information about required Vaccinations and understand that my pet must be vaccinated * I have read the information about required Vaccinations and understand that my pet must be vaccinated If you are human, leave this field blank. Submit
