Pre-enrolment Form

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Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Ensure this address matches that of Google My Business and Google Maps etc

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(Emergency Contact - Name) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Doggy Details #1

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Sex {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Desexed {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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e.g 0.70 = 7 months

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Is your dog house trained {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Does your dog play with toys? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Has your dog shared water, toys, bed, with other dogs? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Is your dog allowed treats {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Medical History

Is your dog fully vaccinated including kennel cough? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
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Doggy Details #2

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Sex {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Desexed {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
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{ binding firstError.message }
{ binding firstError.message }
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{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Is your dog house trained {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Does your dog play with toys? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Has your dog shared water, toys, bed, with other dogs? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Is your dog allowed treats {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Medical History

Is your dog fully vaccinated including kennel cough? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
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{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Do you have another dog? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Have you ever been to another daycare? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Boarding Information

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Terms & Conditions

1) I understand that Grange Spa has relied upon my representation that my dog is in good health and has not injured or shown aggression or threatening behaviour to any person or dog in admitting my dog for services at their facility.

2) I further understand that their owners, staff, partners and volunteers, will not be liable, financially or otherwise, for injuries to my dog, me or any property of mine whilst my dog is participating in services provided by Grange Spa.

3)I further understand and agree that any problems with my dog, behavior, medical or otherwise will be treated as deemed best by the staff of Grange Spa. I understand that I assume all financial responsibility in the event of medical treatment being required.

4)I understand that there are risks and benefits associated with group socialization of dogs. I agree that the benefits outweigh the risks and I accept the risks. I desire a socialized environment for my dog while attending services provided by Grange Spa, including swimming pool, sandpits and all other available entertainment. I understand that while Grange Spa; staff to prevent any incidence carefully monitors socialization and play, it is still possible during the course of a normal play that my dog could receive injury.

5) I further understand by allowing my dog to participate in services offered by Grange Spa I am authorizing the taking of photos of my dog for publication and/or promotions.

6)I further understand that I am solely responsible, financially or otherwise for any harm or damage cause to or by my dog whilst at Grange Spa.

7) I understand that if my dog is not picked up on time I agree that there will be an extra charge for this and my dog may be kept over night.

8) I understand that in the event of a medical emergency that Grange Spa, at its sole discretion, may seek the immediate attention of a veterinarian. I further agree that I am financially responsible for the medical treatment that my dog receives as a result of a medical emergency while attending services provided by Grange Spa.

{ binding firstError.message }
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
By signing this agreement I am acknowledging that I have read & understood the terms & condtions above {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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PRIVACY POLICY http://www.grangespa.co.nz/privacy-policy/

Pre-enrolment Form

Pre-enrolment Form

How did you hear about us? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Select you closest branch {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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What is your main purpose for enrolling with Grange Spa {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Phone Home {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Phone Work {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Phone Mobile {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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(Emergency Contact - Name) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
(Emergency Contact - Phone) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Doggy Details #1

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Breed {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
D.O.B {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Sex {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Colour {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Desexed {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Age {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Picture {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Does your dog prefer male or female people? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Any areas of your dogs body they do not like to be touched? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
How does your dog behave with other dogs? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Does your dog have any likes/dislikes? How have these been dealt with? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
How do you calm your dog? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
What commands do you use? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
What methods of training to you use? i.e clicker, food, touch, voice etc {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Is your dog house trained {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Does your dog play with toys? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Has your dog shared water, toys, bed, with other dogs? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Is your dog allowed treats {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Any preference? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Medical History

Is your dog fully vaccinated including kennel cough? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Upload Vaccination Certificate (s) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Date of last vaccination {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Worming product used {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Date last applied {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Flea treatment used {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Date last applied {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Known allergies {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Injuries {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Surgery (old or recent) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Current Medication {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Vet Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
Any other information you think we may need to know: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Doggy Details #2

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Breed {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
D.O.B {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Sex {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Colour {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Desexed {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Age {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Picture {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Does your dog prefer male or female people? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Any areas of your dogs body they do not like to be touched? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
How does your dog behave with other dogs? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Does your dog have any likes/dislikes? How have these been dealt with? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
How do you calm your dog? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
What commands do you use? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
What methods of training to you use? i.e clicker, food, touch, voice etc {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Is your dog house trained {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Does your dog play with toys? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Has your dog shared water, toys, bed, with other dogs? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Is your dog allowed treats {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Any preference? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Medical History

Is your dog fully vaccinated including kennel cough? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Date of last vaccination {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Upload Vaccination Certificate (s) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Worming product used {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Date last applied {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Flea treatment used {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Date last applied {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Known allergies {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Injuries {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Surgery (old or recent) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Current Medication {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Vet Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
Any other information you think we may need to know: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Do you have another dog? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Have you ever been to another daycare? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
If YES what was your experience like? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Boarding Information

Feeding Schedule? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Brand of Food {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Terms & Conditions

1) I understand that Grange Spa has relied upon my representation that my dog is in good health and has not injured or shown aggression or threatening behaviour to any person or dog in admitting my dog for services at their facility.

2) I further understand that their owners, staff, partners and volunteers, will not be liable, financially or otherwise, for injuries to my dog, me or any property of mine whilst my dog is participating in services provided by Grange Spa.

3)I further understand and agree that any problems with my dog, behavior, medical or otherwise will be treated as deemed best by the staff of Grange Spa. I understand that I assume all financial responsibility in the event of medical treatment being required.

4)I understand that there are risks and benefits associated with group socialization of dogs. I agree that the benefits outweigh the risks and I accept the risks. I desire a socialized environment for my dog while attending services provided by Grange Spa, including swimming pool, sandpits and all other available entertainment. I understand that while Grange Spa; staff to prevent any incidence carefully monitors socialization and play, it is still possible during the course of a normal play that my dog could receive injury.

5) I further understand by allowing my dog to participate in services offered by Grange Spa I am authorizing the taking of photos of my dog for publication and/or promotions.

6)I further understand that I am solely responsible, financially or otherwise for any harm or damage cause to or by my dog whilst at Grange Spa.

7) I understand that if my dog is not picked up on time I agree that there will be an extra charge for this and my dog may be kept over night.

8) I understand that in the event of a medical emergency that Grange Spa, at its sole discretion, may seek the immediate attention of a veterinarian. I further agree that I am financially responsible for the medical treatment that my dog receives as a result of a medical emergency while attending services provided by Grange Spa.

Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
By signing this agreement I am acknowledging that I have read & understood the terms & condtions above {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

PRIVACY POLICY http://www.grangespa.co.nz/privacy-policy/