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Animal Information Form

First Name:                              Last Name: 

Phone Number:                       Animal's Name: 

Animal/Breed:                         Age: 

Color/Markings:                     Sex: M or F 

 Date rabies shot expires:                     

(we do not take big animals such as horses, pigs, cow, goats, etc. no farm animals)

Feeding:                                                                                                                         

What kind of food/s does your animals eat?

 

When does your animals eat?

 

Special feeding instructions:

 

Medication:

Is your animals on any medications that must be administered? If yes, please describe the medication procedures including name, dosage and where it is kept.

 

Other

Does your animals have a favorite game?

 

Does your animals have favorite hiding places?

 

Do you have your own collar and leash for your animal?

 

Does your animals need a special harness or choke collar for walks?

 

Traits:

Please answer the following brief questionnaire about your animals. It will help us to better care for him/her:

 

Is friendly with other animals  YES / NO

 

Likes new adults   YES / NO

 

Likes children   YES / NO

 

Must stay on leash during walks YES / NO

 

Is allowed in the house  YES / NO

 

Is allowed to have treats  YES / NO

 

Is prone to digging  YES / NO

 

Is prone to chewing  YES / NO

 

Is fearful of noises or other things YES / NO

 

Obeys basic commands   YES / NO

 

Has bitten people or other animals YES / NO

 

Has shown other aggression YES / NO

 

Please indicate anything else about your animal's habits or behavior that would be useful to us in providing care:

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We will let you know if we are full.  You can bring up to 3 of your pets!!

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