Dog Registration

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Dog Registration
Basic Information
Dog’s Name _____________________ Breed ___________________ Color_________ Weight______ DOB
 MALE  FEMALE  SPAYED  NEUTERED
If not spayed, approximate heat date _________
If over 7 years old, does your dog require special handling?
Behavioral Information
Does your dog like to be around other dogs?
Does your dog get along with his/her siblings? ___________ Do they need to be separated when we are not present?
Does your dog like to be around people and/or strangers?
How does your dog react when meeting new people/strangers in the home?
In regards to people, is your dog better with?
 MALES  FEMALES  BOTH
Has your dog ever bitten an animal/human? If yes, please explain
Check all that apply  PLAYFUL  NON-ACTIVE  SHY  AGGRESSIVE/MAY BITE  DIGGER  DESTRUCTIVE
CHEWER  INGESTS NON FOOD ITEMS  NOT POTTY TRAINED  PULLS ON LEASH  RUNS AWAY
Is your dog a fence climber or escape artist? If yes, please explain
Does your dog experience separation anxiety, fear of thunderstorms, or any other significant fear? If yes, please explain:
______________________________________________
What commands does your dog respond to? ____________________
Pet Care/Feeding Information
How often do you have your dog groomed, bathed, flea dipped?
Have you ever worked with a Trainer?  YES  NO
Would you like a Trainer to contact you to explain our training options?  YES  NO
What brand of food do you feed your dog?
If your dog runs out of his/her food may we feed ours (Natural Balance - Ultra)?  YES  NO
How often do you feed your dog:  ONCE/DAY  TWICE/DAY  FREE FEED (leave out all day as needed)
If you feed once per day, when do you feed:  IN THE MORNING  IN THE EVENING
Do you raise your dog’s food and water bowls at home?
Do we need to separate siblings during feeding?  YES  NO
List any additional feeding instructions
Medical Information
Has your dog been sick in the past 30 days? If yes, please explain: _________________________________________
List any known allergies: _____________________________________________
Is your dog on any medications?  YES  NO
What flea/tick prevention do you use? _
Please describe your dog’s general health (Include any current OR PAST medical problems)

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