Pet Registration Form

---

Pet Registration Form

Pet Registration Form

Please fill out one Pet Registration Form for each pet

Step 1 of 3: Pet's Information

Pet's Name *

Breed *

Sex *

Age *

Date of birth *

Where did you acquire your pet? *

City/Area *

Pet *

Cat

Dog

Spayed/Neutered *

Yes

No

Up-to-date vaccinations? *

Yes

No

Approximately what year did you get your pet? *

Regular Vet Clinic or Veterinarian’s Name: *

Does your pet have any old injuries or health problems? If yes, explain

Where is your pet used to sleeping? *

Who has your pet spent time with? *

Men

Women

Seniors

Children (ages)

How would you describe your pet’s behaviour around children? *

Friendly

Playful

Tolerant

Shy

Afraid

Too much for small children

How would you dscribe your household *

Active

Noisey

Quiet

Average

Is your pet comfortable with? *

Bathing

Nail Clipping

Ear Cleaning

Grooming

Does he/she have a special diet? *

Yes

No

If yes, explain *

What type of food does he/she eat? *

When is he/she usually fed? *

A.M.

P.M.

Free Fed

Other

Please give a short summary of your pet’s personality. Be sure to include things that are unique to him/her. *

Special Requests: Do you have special requests when placing your pet in his/her new home? *