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About you

Contacts

Second choice

Emergency contact (must be in the area)

Vet clinic

About your dog

Birthday

Sex

Male

Female

Spayed/Neutered

Yes

No

Flea & Tick Control

Yes

No

Medication (if applies)

Food

Behavior

Dog or food possessive

Yes

No

Sound sensitive

Yes

No

Escape artist

(climbs fences, squeezes out of things)

Yes

No

Additional notes (optional)

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