Little Bones,
Southwick
Brighton East Sussex
Tel. 07808 398 736
Email: brian@littlebones.co.uk
Registration Number LN/201500000

Registration Form

We require the form below to be completed.

You can fill it in on-line and submit using the submit button at the bottom of the page.

Or fill it in on screen and print it off and bring it with you.

Download a PDF and fill it in and bring it with you. Click here for the PDF version.

Date
Name of Guest Dog

Description of Dog

Age of Dog

Name of Owner

Email

Telephone Number

Address of Owner

Third Party Emergency Contact Details

Veterinary Surgeon (name, address and contact telephone number)

State of Dog's Health

Any Known Allergies

Date of Last Flea/Parasite Treatment

Date of Last Worming

If Girlie Dog Date of Last Season

If Male Dog is he Neutered

Any Medication During Stay

Has Your Dog Been involved in any Aggressive Behaviour - Full details - Past or Present

Other Relevant Information: e.g-
Personality traits, special words of comfort, favourite toys, anything else you would like us to know.

Does your Dog Socialise well with:-
Children

Adults

Other Dogs

Please provide a copy of latest vaccination records which must include Distemper and Canine Parvovirus. All dogs must have current vaccinations. Kennel Cough vaccinations is required for dogs from same household.