Name *
Name
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Phone
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Address
Vet Address
Vet Address
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Vet Phone
owner's initials
Dog aggression, barking excessively, digging, jumping on people, marking territory, roaming, Barking at other dogs while on leash, pulling on leash, pottying in the house, cat aggression, other..
if yes, what kind, how many
Age of children dog has been regularly exposed to and dog’s reaction:
Describe your dog:
Does the dog have any fears or negative reactions to:
Commands the dog knows
Where is you get your dog