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Emergency Contact #1
Emergency Contact #2
Others authorized to pick up my pet:
Name of Veterinarian:
Date of Birth:
All dogs must be spayed or neutered prior to 6mths of age: SpayedNeutered
Breed Type/Mix and Color:
How would you describe your pet's temperament?
What do you feed your pup, how much, and how often?
Is your pup allergic to any food, medication, or treat? If so, please list:
How long have you had your pup?
Your pup is from:
Has your pup received any obedience training?
Has your pup been boarded or attended doggie daycare before?
If so, please describe your experience(s):
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