Registration Form

The Lodge Small Animal Hotel

This form is only to be used by new customer or customers editing the small animals that you would like to stay with us.

Name of Animal

Type / Breed of Animal

Male / Female

Age

Owner's Name

Address and Postcode

Contact Phone No.

Emergency Contact Details

Vets Contact Details

Emergency Contact Phone No.

Vets Phone No.

Any Previous Medical Conditions

Feeding Details / Any Other Information

I understand if my pet shows sign of illness, The Lodge will contact me and I will give permission to Rebecca Collins to get medical treatment from the vets but understand I am liable any costs to be paid

I give permission for The Lodge to use photos of my pets on Facebook

I have read the terms and conditions and privacy policy of The Lodge Small Animal Hotel and have electronically signed to confirm

I agree

I do not agree

Your Signature

The Lodge Small Animal Hotel

Registration Form

You have registered your pet with the Lodge. Confirmation of booking will be sent within the next few days. Thank you!