New Customer Booking Formwebtrendz2022-03-02T14:08:32+13:00 New Customer Booking Form Name* First Last Email* Enter Email Confirm Email Mobile number*Home numberAddress* Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Emergency Contact Person* First Last Emergency Contact Person Phone*Drop Off Date* DD slash MM slash YYYY Drop Off Time*Please select ...8am - 9.30am Morning4pm - 5.30pm AfternoonPick Up Date* DD slash MM slash YYYY Pick Up Time*Please select ...8am - 9.30am Morning4pm - 5.30pm AfternoonPet Name* Sex* Colour* Age* Breed* Desexed* Yes No Medication?* Yes No Medication Brief DescriptionOwn Food?* Yes No Own Food Brief DescriptionAnother Dog? Yes Pet Name 2 Sex 2 Colour 2 Age 2 Breed 2 Desexed 2 Yes No Medication 2? Yes No Medication Brief Description 2Own Food 2? Yes No Own Food Brief Description 2Vet*Are your vaccinations up to date? (including Canine Cough)* Yes Please provide original at drop off. A pre-check copy can be uploaded below.File Upload Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 20 MB, Max. files: 5. Upload picture(s) or scans of your pets vaccination book front page with your pets details and the page with the most recent/current vaccinations. Allowed formats are jpg, gif, png, and pdf. N.B. Please bring the originals at drop off Extra Pet DetailsCommentsPermission to use pets photos we may take for our Website & Facebook?* Yes No TERMS & CONDITIONS OF CONTRACT AGREEMENT. Dogs must have current vaccinations against Distemper, Parvovirus, Para Influenza and Kennel Cough, for their stay at Taupo Pet Lodge (Note a 10 day stand down period is required after administration of any type of vaccination). Leptospirosis is optional for boarding. It is YOUR responsibility to make sure your pets’ vaccinations are all up to date for the duration of their stay and any vaccination has been administered 10 days prior to arrival, also please ensure your pet has been treated for internal and external parasites prior to boarding. Refusal of your pets stay often offends as you are still liable to pay the full booking fee. We welcome your pet into ‘Taupo Pet Lodge’ with the knowledge that they will enjoy their stay. If your pet requires veterinary attention, we reserve the right to obtain such attention at the owners / agent’s expense, although all care and professional management will be given to your pet. We DO NOT accept any responsibility or liability for illness, injury, or loss of any animal in our care, or their belongings whatsoever. We also DO NOT accept any responsibility, liability or financial loss for 1.) damage to your property or vehicle whilst on our premises 2.) confirmed bookings we are forced to cancel due to Natural Disasters or Infectious Diseases (animal or human). Note: damaged caused to our property through your neglect or destructive behaviour from your pet you will be liable for all associated costs. All accounts must be paid in full on drop off or pick up, we do not allow pet collection unless the account is paid in full, therefore your pet will need to stay in boarding until payment has been made in full including any extra charges. We take this opportunity to advise that our business is a member of Baycorp, and we advise that should a payment default occur under your agreement then the information will be listed with Baycorp. Once listed the information remains on file until any defaults are rectified. Should a default occur all collection costs associated with Baycorp collection will be at the owners / agent’s expense. In the event of a cancellation or a no-show Taupo Pet Lodge’s cancellation policy will apply. Acceptance of Terms & Conditions:* I/We Accept the aforementioned Terms & Conditions of Contract Agreement: