Dog Information Sheet

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Dog   I nformation    
 
( Complete   O ne   f or   E ach   D og)
Dog’s   N ame:   _ _________________________________       G ender:     _ ____   M ale       _ ____   F emale  
Age:   _ ___________       B irthdate:     _ ___/____/____       W eight:   _ _____________  
Breed:     _ ____________________________         C olor/Markings:     _ _________________________  
Spayed   o r   N eutered?   _ ___   Y es       _ ___   N o         I f   n o,   s urgery   i s   s cheduled   f or:   _ ________________  
(Dogs   o ver   7   m onths   o ld   m ust   b e   s payed   o r   n eutered   t o   a ttend   d aycare)  
How   l ong   h ave   y ou   o wned   y our   d og?   _ _____________________________________________  
Where   d id   y ou   g et   y our   d og?     _ ___________________________________________________  
Basic   H ealth   I nformation:  
Does   y our   d og   h ave   a ny   a llergies?   _ _________  
If   s o,   p lease   d escribe:   _ __________________________________________________________  
Does   y our   d og   h ave   a ny   s pecial   m edical   p roblems?   _ _________  
If   s o,   p lease   d escribe:   _ __________________________________________________________  
Does   y our   d og   h ave   a ny   o rthopedic   c oncerns?   _ _________  
If   s o,   p lease   d escribe:   _ __________________________________________________________  
Social   S kills:  
How   w ould   y ou   d escribe        
your   d og’s   P ersonality?       _ ________________________________________________________  
Is   y our   d og   m ore   d ominant   o r   m ore   s ubmissive?   _ ____________________________________  
Is   y our   d og   c rate   t rained?   _ ________    
Does   y our   d og   l ike   C hildren?   _ ____       M en?   _ ____       W omen?   _ ____  
Please   l ist   o ther   p ets   i n   h ousehold:   _ _______________________________________________  
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