Tell us more about your current pets…
Pet’s Name
Type
Breed
Sex
Age
How long owned?
(If no longer have, what happened?)
Dog
Male
Neutered
Cat
Female
Spayed
Dog
Male
Neutered
Cat
Female
Spayed
Dog
Male
Neutered
Cat
Female
Spayed
Dog
Male
Neutered
Cat
Female
Spayed
Veterinarian’s Name:
Phone:
Checked
Address:
City:
okay
Whose name are the vet records under?
Dog’s Name
Cage Number
Dog’s Name
Cage Number
Which dogs would
you like to meet?
I acknowledge that I am not acquiring this dog for re-sale and understand that, if I decide at any time, for any reason, that I can no longer care for the dog, I am able to return
the dog to the Franklin County Dog Shelter at no charge.
Signature:
Date: