Consents Form

The Following consents are required as part of The Animal Welfare Act (Licensing of Activities Involving Animals) (England) Regulations 2018. This form must be completed for each dog.

I give consent for my dog to be taken to the following veterinarian should it require treatment:

White Cliffs Veterinary Surgery

18-22 Honeywood Close

Dover

Kent

CT16 3PX

01304 414141

If this vet is not available, or my dog cannot be seen at this vet, I give my consent for my dog to be treated at the vet that they are registered with, namely:

I give my consent for any medication described on my booking form, or any medication prescribed to my dog by a vet in my absence, to be administered to my dog by the person caring for my dog.

If my dog requires preventative treatment, I give my consent that this is given as described in the Vaccination Log, under the direction of a veterinarian

If there is evidence of external parasites on my dog during their stay (i.e. fleas, ticks, lice etc) I give my consent for my dog to be treated with an appropriate product authorised by the Veterinary Medicines Directorate and licensed for use in the UK. Treatment will be discussed with a vet before administering.

I give consent for my dog to be boarded in the same property as other dogs, not from the same household (there will be a mandatory trial familiarisation period with the other dogs)

I give consent that my dog can be kept in the same rooms/area as any other dogs in the same household.

I give consent for my dog to be fed in the same room, at the same time as other dogs

I give my consent for my dog to be allowed access to outside areas (i.e. gardens) with other dogs not from the same household

I give my consent for the agreed programme for enrichment for my dog including socialisation, grooming and play. Details of the agreed programme are:

At least two walks a day (on premises), grooming as required, supervised toys, games and recreational feeding implemented.

I give consent for my dog to be walked outside of the home environment/garden.

I give my consent for my dog to walked with other dogs not from the same household. Dogs will be familiarised with each other beforehand.

I give my consent for my dog to be walked off lead (I have read and understood the below Off Lead Disclaimer).

I, the below named client, give the Service Provider permission to walk my dog off its lead during any walk undertaken during my absence.

I understand the potential consequences that could occur to my dog or to other dogs if walking my dog off the lead while in the care of the Service Provider. I agree to release The Service Provider from all liability including its members, agents, managers, and employees should my dog become lost, injured or otherwise harmed which may result in my dog being walked off the lead.

The Service Provider agrees to exercise all reasonable and due care to prevent injury or death to my dog off the lead, However, in the event of injury/death, except those caused by reckless acts on the part of The Service Provider, the Service Provider will not be held liable for such injury/death of my dog as a result of off-lead walking.

I freely and voluntarily enter into this contract of permission with the Service Provider and fully understand the above conditions.

I give my consent for my dog to be housed in a crate for no longer than one hour in any eight hour period, unless crates are/will become used as part of their normal routine.

Clear
Dog Owner

Contact Me:

e: davidandersondogtraining@gmail.com

t: 07709357777

p: The Pines, Gravel Lane, West Hougham, Kent CT15 7AG

© 2025 David.Anderson - All rights reserved

Dover District Council Licence Number: 55197