Owner/Operators John and Denise Clark
773 State Highway One
R D 31,   Levin
New Zealand

                                     Tel:  +64 362 6184
                                 Fax:  +64 6 362 6185
                   email: shado-lans@xtra.co.nz

BOOKING FORM

Please be aware that bookings are confirmed on a "first come first served" basis.
Please give us as much notice as possible.
Once this form and deposit have been received we will send you a booking confirmation certificate.
A copy of this form will be sent to the Ministry of Agriculture.

Owners Name: __________________________________

Overseas Address: __________________________________

__________________________________

__________________________________

__________________________________

Overseas Tel (hm): _____________Tel (off): ______________

Overseas Mobile: _____________E-mail: _______________

Overseas Fax: __________________________________

NZ Address: __________________________________

(or representative) __________________________________

__________________________________

__________________________________

NZ Tel (hm): _____________Tel (off): ______________

NZ Mobile: _____________E-mail: _______________

NZ Fax: __________________________________

 

Pets Name/s: ______________ _____________ ______________

Dog / Cat ______________ _____________ ______________

Breed: ______________ _____________ ______________

Colour: ______________ _____________ ______________

Sex: ______________ _____________ ______________

Age: ______________ _____________ ______________

Microchip Number: ______________ _____________ ______________

First blood test date: ______________ _____________ ______________

Vaccination dates: ______________ _____________ ______________

Date Booking Required:

From: ______________To:____________ Estimate / Confirmed

(Delete one)

Arrival Date Range:

Earliest Date: ______________Latest Date:_____________

Special requirements: (Grooming, Diet etc.): Please use a separate sheet if necessary.

 

All pets must be fully vaccinated as follows:

DOGS:
Must be vaccinated against Parvovirus, Distemper, Hepatitis, Kennel cough.
This vaccination must have been within 12 months but not within 21 days
of arrival into New Zealand.

CATS:
Must be vaccinated against Feline Enteritis, Feline Viral Rhinotracheitis and
Calicivirus infection. This vaccination must have been within 12 months but
not within 21 days of arrival into New Zealand.

A copy of the vaccination certificate must accompany the booking request.

Vaccination status should be confirmed to Shado-Lans prior to booking confirmation.

The original vaccination certificate must accompany the pet.



 

VETERINARY TREATMENT APPROVAL FORM

The care of your pet is our highest priority. In the event that your pet should require veterinary assistance and we are unable to contact you, we will need to be able to arrange immediate veterinary attention.
Please complete the following approval form.
Whilst we will always do our best for your pet we cannot be held responsible for events outside of our control.

I _______________________(Owner) hereby authorise Shado-Lans NZ Ltd, or it’s agents, to approve veterinary
treatment for:

Pets Name/s: ______________ _____________ ______________

Dog / Cat ______________ _____________ ______________

Breed: ______________ _____________ ______________

Colour: ______________ _____________ ______________

Sex: ______________ _____________ ______________

Age: ______________ _____________ ______________

I also agree to meet any charges arising from this care. All veterinary accounts will be itemised separately.

Signed:_______________________________ Date:________________________________

Please attach a copy of any relevant veterinary records.

 

 

 

FOR OFFICE USE ONLY

Approval for quarantine booking

 

 

 

Signed:……………………………………………………………………………
MAF Veterinarian



Signed:……………………………………………………………………………
Shado-Lans quarantine