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Drop Off Date
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Drop Off Time
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Pick Up Date
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Pick Up Time
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Surname(*)
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First Name(*)
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Address
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Suburb
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Post Code
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Home Phone
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Work Phone
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Mobile
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Email(*)
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First Dog Name
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First Dog Breed
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First Dog Gender
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First Dog Desexed
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First Dog Date of Birth
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First Dog Approx weight
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Second Dog Name
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Second Dog Breed
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Second Dog Gender
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Second Dog Desexed
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Second Dog Date of Birth
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Second Dog Approx weight
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Is your dog destructive? If yes, please give details.
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Has your dog ever tried to escape/fence jump/dig out?
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Does your dog dig? If yes, please provide details.
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Does your dog bark often? If yes, please provide details.
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Has your dog ever been aggressive towards people? If yes, please provide details.
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How is your dog’s health?
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Last vaccination date?
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Is your dog fully housetrained?
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Has your dog ever been boarded away from home? What was your experience?
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How is your dog with other friendly dogs?
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How is your dog with cats?
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How is your dog with well-behaved children?
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Is there any age group of children with which your dog is not comfortable?
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Does your dog have any issues with men or women?
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When you go out do you leave your dog inside or out?
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When you’re home does your dog come inside?
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Where does your dog sleep at night?
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What’s the longest you normally leave your dog while out?
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How often and how long you normally walk your dog (approx) do ?
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How is your dog on lead?
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Is your dog registered?
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Does your dog stress during thunderstorms and/or fireworks?
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Is your dog ok with stairs?
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Does your dog usually wear a collar? (It is compulsory your dog wears a collar whilst in care so the ID tag can be attached).
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Is there anything else we need to know about your dog?
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Do you have a preferred Carer?
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