Boarding Details

Boarding From: Select Date	To: Select Date

Number of nights: Suite Type: Select Suite

Number of cats boarding: Would you like your cats to share suites? Select

Owner’s Details Person ID Number:

Name:	Phone Number (BH):
Address:
Email:
Emergency Contact Phone Number:

Animal Details	Animal ID Number:

Cat 1’s Name:	Sex :Select	DOB: Select
Breed:	Colour:	Extras: Select
F3 Vaccination Current*? Select	Parasite Control Current? Select
Special Diet or requirements**?

Cat 2’s Name:	Sex :Select	DOB: Select
Breed:	Colour:	Extras: Select
F3 Vaccination Current*? Select	Parasite Control Current? Select
Special Diet or requirements**?

Cat 3’s Name:	Sex :Select	DOB: Select
Breed:	Colour:	Extras: Select
F3 Vaccination Current*? Select	Parasite Control Current? Select
Special Diet or requirements**?

If your cat/s become injured or unwell, would you like them to be treated at the RSPCA Vet Clinic*? Select

If No, please provide details of your veterinarian:

Vet Clinic Name:

Phone Number:

☐ I have notified and authorised the above veterinarian to treat my animal for the duration of my absence and to issue an account to me that I will pay on my return. RSPCA is not liable for any costs incurred at this veterinarian and will issue me a transportation fee.

How did you hear about Tango’s place? Select

Do you give permission for your cat’s image to be used in RSPCA Publications and Website? Select

Would you like to be added to the RSPCA mailing list?	Select

Declaration

I being the Owner / Guardian of the abovementioned cat, understand that by completing and signing this form that:

if I have not contacted the RSPCA to arrange collection of the pet within 7 days of the final date the animal will become the property of RSPCA, and

whilst RSPCA will take all possible care of this animal during the boarding period, RSPCA is not responsible for any illness or death which may occur during that time and I am prepared to pay any costs incurred during this period, this includes medicating with any necessary treatments (eg flea/worming products) or purchase any special diet requirements.

Should I request my animal receives veterinary treatment at my nominated facility, I will incur a transportation fee and organise payment directly with my nominated facility, I understand that RSPCA ACT will not cover these fees

whilst RSPCA will take all possible care of this animal’s personal items provided for the animal’s stay, RSPCA is not responsible for any damage to any such items. If RSPCA needs to provide replacement items, I am prepared to pay any costs incurred.

cancellation of bookings made with a minimum of 7 days’ notice will result in the refund of all monies paid minus a $15 administration fee. Alternatively the money may be placed as deposit/payment for an alternative future booking.

cancellations that are made with less than 7 days’ notice will result in the forfeiture of the 50% deposit.

should I collect my cat early from Tango’s Place, I will not be refunded or credited the balance of days remaining

Signature: Date:

☐ I have attached a copy of my cat/s current F3 vaccination certificate

☐ Email form along with a copy of your cat’s current F3 vaccination certificate to: pac@rspca-act.org.au

**Payment: We will make contact shortly to confirm vacancy, invoice total and to organise payment**