Are you contacting us for canine selection
assistance?
(canine selection=finding the perfect dog for your lifestyle)
Tell us about your [first] dog
Dog's name
Dog's age and date of birth
Dog's breed
Dog's gender and reproductive status
Main issues experiencing with this dog
*
has this dog ever bitten anybody explain
has this dog ever attacked or attempted to attack another animal explain
Which of our services are you interested in?
Check all that apply to this dog. *
(only select clients and dogs with the correct temperment will be allowed into this program)
Rabies expiration date
DHPP expiration date
bordatella expiration date
Veterinarian's name
Any current or past medical conditions for this dog we should know about
Is this dog currently on or in the past any medications
and
for the next dog(s) you are inquiring about
If there is another dog you'd also like to consult
about, please click here to expand this form.
