| First
Name: |
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Last Name:
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| Address: |
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| City: |
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| State: |
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| Postal Code: |
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| Email Address: |
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| Phone Number: |
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| Emergency Co: |
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| Vet Name & Telephone | Proof of shots incl Kennel Cough Req'd: |
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| Authorization to act in case of Emergency: |
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| Dog's Name: |
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| Dogs Sex & Age: |
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| Neutered?: |
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| Breed: |
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| Known
Commands: |
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| S/he comes when called if off leach on walks?: |
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| Habits to look out for, e.g., digging, barking: |
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| Dislikes, fears, e.g., fear aggressive, doesn't like kids: |
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| Medication Instructions: |
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| Eating Instructions - Time & Amount: |
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| Sleeping Habits - wakes up at? On blanket?: |
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| Bathroom Habits - as soon as wakes up? 8PM?: |
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| Favorite Activities - e.g., walk, swim, play ball: |
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| Nothing Fancy - Just
TLC - If you have questions or any comments that would help me to better understand your dog better
enter them below. |
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