Pet Profile

PET PROFILE
Dog's Name
Dog's Breed
Dog's Allergies
Current Weight
Is your dog permitted to have treats
Sex
Coat Colour(s)
Medical Conditions
Birthdate
HOUSEHOLD INFORMATION
Owner's Name
Home Phone Number
Email Address
Authorized for Pick-up
Cell Phone
K-9 Headquarters Contacted Via
Full Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Other
EMERGENCY INFORMATION
Veterinarian Name
Veterinarian Phone Number
Emergency Contact #1
Emergency Contact #2
Consent
I, the owner of this dog, DO give my consent for this dog to be used as a helper dog in Temperament Assessment

480 Boundary Road East Pembroke ON K8A 6L3

613.735.0404

Mon - Sat: 9AM - 6PM

HOUSEHOLD INFORMATION