Horse Care Booking Form George’s Pet Pals

Horse Care Booking Form

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- Step 1 of 4

Owners Details

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone *

Email *

Emergency Contact Name & Telephone Number *

Pet Details

Name *

Breed *

Age *

Gender *

Gelded *

Microchip Number *

Flu & Tet Dates *

Vaccinations Date *

Upload Vaccination Proof *

Drag & Drop Files, Choose Files to Upload

Horse Insured *

Horse Insurer *

Policy No *

Vet Name *

Vet Tel Number *

Vet Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Medical Conditions, History, Allergies, Current Medication *

Behavioural Issues *

Likes / Dislikes *

Fearful, Anxious, Aggressive Tendencies *

Bites, Kicks, Bucks, Rears, Easy To Catch

Examples *

Risk Asssess *

Additional Horse Information *

Routine Requirements *

Owner’s Permission Declarations

I as the owner of the aforementioned pet hereby give my full consent to the
following:

Time Date Issues

Permissions *

Permission for feeding enrichment upon veterinary advice 7.1
Permission to turn out / bring in horse to & from the field using a lead rope & halter
Permission for any preventative treatment to be administered under the direction of a veterinarian 9.7
Permission granted for the use of images, photographs of my pet for social media, advertising purposes only.
Permission to seek emergency veterinary advice when required.

Tick All Of Those That Apply

Signature *

Clear Signature

Date / Time *

Date

Time

Key Holder Waiver

I as the owner of the aforementioned horse hereby give George’s Pet Pals access to my property (Keys, alarm codes, gate codes, animal supplies, feed).

I understand that these will be kept in the strictest of confidence, I also understand and agree by granting access to my property that George’s Pet Pals are not liable for any theft, loss or damage to the property or its contents. Refer to Terms and conditions item 20.

George’s Pet Pals will return all keys on cancellation of its services and all codes will be destroyed.

Signature *

Clear Signature

Date / Time *

Date

Time

Terms & Conditions

I as the owner of the aforementioned horse hereby have received and agree acceptance of George’s Pet Pals Terms and Conditions.

I understand that these Terms and Conditions are binding and by signing this booking form they are deemed as agreed and accepted.

Signature *

Clear Signature

Date / Time *

Date

Time

Office Use Only

Accepted

Meet & Greet Date / Time

Date

Time

Meet & Greet Obervations

Interactions With Licensee

Additional Comments

Risk Asssess (copy)

Horse Care Booking Form