Animal Companion Rescue Foundation

Pet Profile

Owner

Name:
Address:
City: State: ZIP:
Home phone: Work phone: Cell phone:
E-mail:

Pet

Name:
Species/breed:
Sex: Male Female
Spayed/Neutered: Yes No
Age:

Veterinarian

Name:
Address:
City: State: ZIP:
Phone:
Location of veterinary records:
This pet has an ID tag: Yes No
This is currently my only pet: Yes No
This pet is declawed(cat only): Yes No
This pet has a microchip or tattoo: Yes No
How many pets, including this one, are in your care:

Information about your pet

Current diet (brand names of preferred foods, treats, etc.)

Feeding schedule/amount fed

Medications, supplements, or conditions requiring veterinary supervision:

Allergies:
Physical limitations:
Favorite toys, posessions, or games (describe in detail):

Favorite place(s) to sleep:
My pet lives: Strictly indoors. Outdoors. In and out. In a garage or porch.
Does your pet use a fenced yard? Yes No
My pet sleeps: Strictly indoors. Outdoors. In and out. In a garage or porch.
My pet: Is housetrained. Not housetrained. Uses a litter box only. Uses outside and a litter box. Sometimes has accidents.
Does your pet go for regularly scheduled walks? Include time of day, favorite locations, etc.

My pet has lived with children (list ages):
My pet has lived with other animals (list types):
Was this successful? Yes No
If no, please describe:

Please list any verbal/non-verbal words/commands your pet responds to:

My pet has the following training/knows the following tricks:

Describe in detail your pets daily routine (walking, feeding, playing, bedtime)

Please check all that apply to your pet:
Rides well in car Crate trained Sprays/marks Walks well on leash Obedience trained
Noisy Quiet/reserved Adaptable Moderately active Independent
Cat aggressive Dog aggressive Cat compatible Dog compatible Uses scratching post
Claws/bites playfully Escape artist A lap animal Nervous/skittish Separation anxiety
Outgoing/friendly Aloof Finicky Active/high energy Destructive
Enjoys grooming Playful Hyperactive Sleeps a lot Protective

Likes/Dislikes

Men: Don't know Likes Neutral Dislikes
Women: Don't know Likes Neutral Dislikes
Children: Don't know Likes Neutral Dislikes
Cats: Don't know Likes Neutral Dislikes
Dogs: Don't know Likes Neutral Dislikes
Strangers: Don't know Likes Neutral Dislikes
Noises: Don't know Likes Neutral Dislikes
Other: Don't know Likes Neutral Dislikes
If ``Other'', specify:
Dislikes, fears (vacuum, broom, thunder), sensitive areas to avoid, best way to pick up, etc.

Circumstances that will cause pet to bite:

By checking this box, you affirm that all information entered here is true to the best of your knowledge:

Please solve the following captcha: