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E-Mail Address :
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Registered Name
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Date of Birth
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Age:
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Breed:
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Weight
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Sex of Pet: Male, Female, Spayed, Neutered
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Special Alerts (Bites, Aggressive, Runs Away):
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Animal Hospital:
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Vaccination History:
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Medications or Suppliments:
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Where did you obtain your pet? IE: pet store, rescue, etc.
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What age did you aquire your pet?
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Have you owned a dog before?
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Please list the approximate dates and describe any history injury, illness, or behavioral issues
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Describe what your pet eats & drinks, and any changes in the last 6 months:
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Describe where & how your pet lives, exercises, and sleeps:
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What type of collar and harness do you use?
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How Many Hours Alone?
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Is your dog allowed on furniture?
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Please let us know if your pet has had previous training and what was/wasnt successful:
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Does your dog respond to name when called?
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Reaction to strangers?
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Reaction to other dogs?
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Housebroken?
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Favorite Toys?
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Who plays with dog?
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Who trains dog?
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Who disciplines dog?
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How is dog disciplined?
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Other dogs in household?
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Children in household?
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What is pet fed & where?
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