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Enrollment Application
Enrollment Application
Pet's Name
*
Breed
*
Sex
*
DOB
*
Weight
*
Owner Information
Name
*
Address
*
Email
*
Phone - Best way to reach you.
*
Phone #2 - Best way to reach you.
*
Emergency Contact
Name
*
Phone - Best way to reach you.
*
Phone #2 - Best way to reach you.
Email
Veterinarian
Name
*
Address
*
Email
Phone
*
Fax
Pet Personality Profile
Dog's Name
*
Date you aquired your dog.
*
Is your dog spayed/neutered?
*
No
Not Yet
Yes
At what age was this done?
*
If adopted, what knowledge do you have of your dog’s past history?
*
Where did you get your dog?
*
Does your dog like children?
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How does your dog behave around children?
*
Are there other animals in your household? If so, please list type, sex, and age of each.
*
How does your dog get along with your other pets?
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Grooming
Does your dog have a problem with fleas or allergies?
*
Does your dog have hip displaysia?
*
If yes, what restrictions need to be placed on their activites or movements?
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Does your dog like to be brushed?
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How does your dog react to having his/her nails clipped?
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Does your dog have sensitive areas in her/his body?
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Where are your dog’s favorite petting spots?
*
Behavior
Does your dog act afraid of any specific items or noises?
*
How does your dog react to strangers coming into your home or yard?
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Does your dog ever bark or growl at anyone passing your home or yard?
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Are there any kinds of people your dog automatically fears or dislikes?
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How does your dog react to puppies?
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Has your dog ever growled at anyone? What were the circumstances?
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Bitten someone? What were the circumstances?
*
Does your dog have any problems in any of the following areas?
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Mouthiness
Barking
Digging
Housetraining
Jumping
If you marked yes in any of the above please explain.
*
Has your dog ever growled or snapped at someone who has taken his/her food or toy away from him/her?
*
Has your dog ever shared his/her food with other animals?
*
Does your dog play with any toys?
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What kinds of toys or games does your dog like to play?
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Does your dog play with other dogs?
*
Has your dog ever had any formal obedience training?
*
What commands does your dog know?
*
Other comments about your dog that you think might be helpful?
*
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