New Dog Registration Form New Dog Registration Notify Owners DetailsTitle- Select -MrMrsMIssMsOtherFirst NameSurnameAddressAddress Line 1Address Line 2City / TownCountyPostcodeEmailContact Number - HomeContact Number - WorkContact Number - MobileDog's DetailsDog's NameDog's BreedSex- Select -MaleFemaleDog's ColourAgeNeutered- Select -YesNoUnknownMicrochip numberDoB (if known) (If 6-12 months old please complete the additional Young Dog Form)Health & Medical InformationHas this dog ever travelled or resided outside of the UK?- Select -YesNoUnknownIF YES, please provide which Country/CountriesIs this dog registered to the vet practice entered on your registration?- Select -YesNoIF NO, please provide the Practice name / Address / telephone number here:(Please provide a current vaccination certificate prior to or at check in) Please note: No pet will be accepted without this.Does the dog have a medical condition?- Select -YesNoIF YES, please complete and submit the separate medical form.Is the dog insured?- Select -YesNoDoes your dog have any limited or impaired sensory functions? (eg. hearing loss or reduced eyesight?)- Select -YesNoIF Yes, please provide more detailsPersonality & TemperamentPlease tell us about your dog’s general personalityWhat are your dog’s favourite things? Please choose all that apply… Cuddles Belly tickles & ear rubs Being brushed Massages Playing with toys Playing fetch Chewing a chew Enrichment feeders (like a stuffed Kong) Playing with other dogs Walks Running off lead Playing in water Lots of regular treats Music/TV Naps in the sunshineDoes he/she have any specific dislikes? Please provide details here.Has your dog ever shown signs of aggression towards a person or other animals?- Select -YesNoIF Yes, please provide more details:How does he/she generally respond to the following?Please evaluate with a number 1 - 5 into each box. 1 being aggressive & 5 being no problem or concerns at all.People/children they know - Select -12345People/children they have not met before- Select -12345Small dogs- Select -12345Large dogs- Select -12345Cats- Select -12345Wild / Farm animals- Select -12345Do you have any other behavioural concerns for your dog that you feel would be useful for the kennel staff to know? (eg. noise phobia / people wearing hats)Is your dog able to escape from enclosed areas?- Select -YesNoIF YES - please provide more details (eg. how high they can jump, do they climb?)Please tell us how they react to travelling in a vehicle?Behaviour & TrainingPlease tell us what verbal command your dog understandsWhat does your dog wear when walking on a lead? (eg. collar/harness/head collar)Is your dog crate trained?- Select -YesNoAre they full house trained?- Select -YesNoPartlyIs there anything else we should know about their toilet habits?Do they show any of the following traits? (Please tick all that apply) Separation Anxiety Guarding food or treats Aggression towards other dogs when on lead Possessiveness over toys /their bed etc.OtherPlease provide further details if you have ticked any of the above:Owner DeclarationBy submitting this questionnaire you confirm the following:- The information you have provided in this form is accurate to the best of your knowledge and any significant changes will be amended during each Booking as required. You consent to Wags & Whiskers Pet Hotel & Spa holding the information you have provided in line with their Data Protection Policy. Submit New Dog Registration Form