Yass Pets New Client Form

Please complete all the fields below and click 'Submit'

Yass Boarding Kennels and Cattery

YBKC is a Country Companion Boarding Facility

Pet Name *
Breed of pet *
Colour of pet *
Weight of pet *
Male or Female * Female Male
Sterilized *
Vacc. Expiry Date *
Vacc. Type *
Owners Name *
Address *
Home Phone Number *
Mobile Phone Number
Work Phone Number
Fax Number
Email Address *
Regular Vet *
Vet Phone Number *
Vet Mobile Number
Registered with
Microchip Number
Reg. Number
Favourite food
Foods not allowed to have *
How long have you owned the dog?
Where did the dog come from?
Tags on collar?
Colour of collar *
Safe with other dogs? *
Safe with children? *
Comes when called? *
May your dog(s) be exersized off the lead? *
May your dog(s) be free in the house yard? *
Does your dog? * Dig Climb Bark Chew
How did you find us? *
Please let us know why you chose us? *
Emergency Contact Name *
Emergency Contact Phone *
Max amount to spend on vet care

I accept the terms and conditions of the YBKC and I authorise Yass Boarding Kennels and Cattery to take my pet for veterinary attention. I also agree to be responsible for all fees inccurred by YBK and C.