American Humane - Protecting Children & Animals since 1877

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Protecting Animals

Adoption & Pet Care

Issues & Information

Pet Personal Profile - Dog

For a Printer Friendly Version of this form, look for the link below!

Contact Information

Owner's name:
Branch of service:
Current address:
Home phone: Work phone:
Other phone: Email:

Would owner like regular contact with foster home? YES NO
If yes, what is the easiest method of contact?

Local contact (in case owner is unreachable):
Relationship to owner:
Current address:
Home phone: Work phone:
Other phone: Email:

Veterinarian:
Name of practice:
Current address:
Phone: Emergency vet? YES NO

Pet Information

Name:
Breed: Color/markings:
Age: Sex:
Spayed/Neutered? YES NO License tag number:

Pet Medical Information

Allergies:
Heartworm preventative? YES NO
Last vaccination date:
(Be sure to attach a copy of vaccination records -- in particular, proof of the last rabies vaccination)
Current medications:
Dosage/Frequency:
Best way to administer medication:

Pet's Previous Living Environment

Inside? YES NO Outside? YES NO
Good with other animals? YES NO If yes, what kinds?
Good with children? YES NO If yes, what ages?

Personality, Habits, and Care

House trained? YES NO Crate trained? YES NO
Under what circumstances will the dog exhibit aggressive, passive, or fearful behavior?


Favorite games/toys:
Where does the dog sleep? Type of bed:
Has this pet bitten anyone within the last 10 days? YES NO
Does the dog jump fences? YES NO Is the dog leash trained? YES NO
Has the dog had any obedience training? YES NO Does the dog know any tricks/commands? YES NO
Type of food (brand name, formula, canned, or kibble):
Amount fed and when:
Type of treats:
Any food sensitivities:
Walking schedule:
Does the dog need regular grooming? YES NO
Where is the dog taken for grooming?

Please attach any other pertinent information to this sheet.