The Animal House
Telephone 706-737-5960
Fax 706-737-5877
Additional Pet Information

Owner's Name: ______________________________

 

Pet's Name:_______________________

 

 

Has your dog been successfully socialized with other dogs? _____

 

Comments: _____________________________________________________________________________

 

Has your dog been successfully socialized with men? _____

 

Comments: _____________________________________________________________________________

 

Has your dog been successfully socialized with women? _____

 

Comments: _____________________________________________________________________________

 

Is your dog aggressive with strangers? _____

 

Comments: _____________________________________________________________________________

 

Is there anything else we need to know about your dog?_________________________________________________________________________

_____________________________________________________________________________

___________________________________________________________________

Emergency veterinarian care authorized (see Agreement): Yes___ No___

 

Do we have your permission to use photographs of your pet(s) in our website, flyers, ads, and brochures?

Yes___ No___

 

Signature: ____________________________ Date: ____________