4. Your Pets Please list all current pets in your household by breed, sex, age, how long owned, if spayed/neutered, where did you get this pet? (rescue, breeder, pet store). Please be specific. *
Breed, Sex, Age, How Long Owned, Spayed/Neutered?, Where did you get this pet?
Please list any previous pets owned in the last 10 years by breed, sex, age, how long owned, if spayed/neutered, where did you get this pet? (rescue, breeder, pet store), and explain what happened to them. *
Breed, Sex, Age, How Long Owned, Spayed/Neutered?, Where did you get this pet?, What happened to them?
When were your pets last vaccinated? * How often are your pets vaccinated for Distemper/Parvo? *
Select... Every year
Every three years
Three years +
I don't vaccinate
I don't know
When my vet tells me to
Are your dogs on heartworm prevention and if so, how many months per year? * What is the name, clinic, city and phone number of your current veterinarian? *
Name, Clinic, City, Phone Number
How long have you been seeing this veterinarian? * Do we have permission to contact your veterinarian as a reference? *
(references are checked)
What is the owner's name your pets are listed under at your veterinarian? * Have you ever given an animal away or surrendered one to a shelter? If yes, please explain. If you have never owned a pet, have you lived in a household with pets? If yes, did you have any dog care responsibilities? Explain: Have you ever trained one or more pets? Explain: * Have you ever bred a pet? If yes, explain: * Of the pets that you own or have owned, what do you enjoy most about pet ownership? * What do you like least? * If you have applied to any other rescue groups, please provide a telephone contact. Was your application approved? If not, please explain. *