Adoption & Pet Care
Issues & Information
Pet Personal Profile - Dog
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Contact Information
| Owner's name: |
| Branch of service: |
| Current address: |
| Home phone: |
Work phone: |
| Other phone: |
Email: |  |
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| Would owner like regular contact with foster home? YES NO |
| If yes, what is the easiest method of contact? |  |
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| 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 | |
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Pet Information
| Name: |
| Breed: |
Color/markings: |
| Age: |
Sex: |
| Spayed/Neutered? YES NO |
License tag number: | |
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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: | |
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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? | |
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Personality, Habits, and Care
| House trained? YES NO |
Crate trained? YES NO |
Under what circumstances will the dog exhibit aggressive, passive, or fearful behavior?
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| 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? |  |
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Please attach any other pertinent information to this sheet.
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