Pet Info
Owner
________________________________________________________________________
Address________________________________________________________________
Telephone Numbers (home)__________________________(work)________________________ (Cell)_____________________________________________________________ Emergency contact(s) and phone number
________________________________________________________________________
________________________________________________________________________
Pet Name _________________________________
D.O.B __________ Approx. Weight______
Breed ____________________________________ Female or
Male---Intact or Spayed/Neutered
Color
____________________________________ Immunization Record (Latest Date)
Identifying characteristics ________________________
Dogs
Cats
Vet & #______________________________________
Feeding instructions (food brand & type, amount, and
times given): __________________________________________________________________________________________________________________________________________________________________________________
Special Instructions (i.e. health issues, medications,
allergies, behaviors): ________________________________________________________________________________________________________________________________________________________________________________________________________________________
ü How did this pet become a part of
your family (i.e. purchased from a breeder, adopted from the shelter)?
________________________________________________________________________
ü
Has this animal previously experienced any type of abuse?
________________________________________________________________________
ü
Have there been any previous behavioral problems or mannerisms that have
been corrected and Shady Oaks Kennel should pay close attention for? Digging ? Fence jumping? Climbing?
________________________________________________________________________
ü Have there been any previous medical
problems or physical difficulties that this animal has experienced?
______________________________________________________________________________________