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TYPE OF ANIMAL
AGE
MALE OR FEMALE
NEUTERED OR SPAYED
MICROCHIPPED
HOW LONG HAVE YOU OWNED THE ANIMAL?
WHO IS THE ANIMAL'S VETERINARIAN?
IS THE ANIMAL UP TO DATE ON VACCINES?
EXSITING MEDICAL CONDTIONS:
RETURN REASON
ANIMAL'S NAME
WEIGHT
HAS THE ANIMAL SCRATCHED OR BITTEN A PERSON IN THE LAST TEN (10) DAYS?
IF YES, WHO WAS BITTEN AND WHAT WAS THE DATE?
HAS THE ANIMAL EVER:
IF YES, DID A BITE BREAK SKIN?
PLEASE EXPLAIN THE CIRCUMSTANCES OF THE BITE:
WAS ANIMAL CONTROL INVOLVED OR MEDICAL TREATMENT NEEDED?
CHECK ALL OF THE FOLLOWING THAT DESCRIBE THE ANIMAL:
PLEASE USE THIS AREA TO FURTHER EXPLAIN ANY OF THE CHECKED BOXES (IF NEEDED):
HAS THE ANIMAL LIVED WITH CHILDREN?
WOULD YOU RECOMMEND YOUR ANIMAL LIVE WITH CHILDREN IN THE FUTURE?
HOW OLD WERE THE CHILDREN IN THE HOME?
HAS THE ANIMAL LIVED WITH CATS?
WOULD YOU RECOMMEND YOUR ANIMAL LIVE WITH OTHER CATS IN THE FUTURE?
HAS THE ANIMAL LIVED WITH OTHER DOGS?
WOULD YOU RECOMMEND YOUR ANIMAL LIVE WITH DOGS IN THE FUTURE?
PLEASE DESCRIBE THE OTHER ANIMALS IN THE HOME (TYPE, SIZE, GENDER):
WHAT ARE THE ANIMAL'S FAVORITE ACTIVITIES OR OBJECTS?
WHAT DOES THE ANIMAL DISLIKE OR FEAR?
WHERE IS THE ANIMAL KEPT DURING THE DAY?
WHERE DOES THE ANIMAL SLEEP AT NIGHT?
DOES YOUR ANIMAL TRAVEL WELL IN THE CAR?
WHAT TYPE OF FOOD DO YOU FEED THEM?
DOES YOUR ANIMAL HAVE FOOD AGGRESSION WITH OTHER ANIMALS OR PEOPLE?
DOES YOUR ANIMAL HAVE TOY AGGRESSION WITH OTHER ANIMALS OR PEOPLE?
PLEASE USE THIS SECTION TO INCLUDE ANY OTHER INFORMATION THAT YOU BELIEVE IS IMPORTANT FOR BOTH US AND A FUTURE OWNER TO KNOW ABOUT THE DOG:
PLEASE USE THIS SECTION TO GO IN DEPTH ABOUT ANY BEHAVIORAL ISSUES/QUIRKS THAT THE ANIMAL MAY HAVE:
Create Account or Log In:
Creating an account or logging in via facebook/email will let you save your application, and allow you to access your pets medical records and other important information after you adopt or foster.