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Your Information
First Name
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Last Name
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Street Address
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City
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Province
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Postal Code
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Email Address
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Phone
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Intake - Dogs Information
Dogs Name
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Breed
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Age
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Do they have a microchip or tattoo?
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Please select an option
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Yes, Microchip
Yes, Tattoo
Yes, Microchip and Tattoo
No
Sex
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Please select an option
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Male
Female
Are they spayed?
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Please select an option
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Yes
No
Are they neutered?
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Please select an option
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Yes
No
Are their vaccinations current?
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Please select an option
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Yes
No
They must have been given within one year from todays date - Core Vaccines are for Canine Distemper (CDV), Canine Parvovirus (CPV- 2), Canine Adenovirus (CAV-2), Bordetella (kennel cough), and Rabies
What vaccines has your dog received within the last year from todays date?
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Please select an option
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Canine Distemper (CDV), Canine Parvovirus (CPV- 2), Canine Adenovirus (CAV-2)
Option 2Canine Distemper (CDV), Canine Parvovirus (CPV- 2), Canine Adenovirus (CAV-2) with Bordetella
Canine Distemper (CDV), Canine Parvovirus (CPV- 2), Canine Adenovirus (CAV-2) with Rabies
Canine Distemper (CDV), Canine Parvovirus (CPV- 2), Canine Adenovirus (CAV-2) with Bordetella and Rabies
Other
Please Explain
Where does your dog live?
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Please select an option
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Indoors. Generally stays and sleeps indoors.
Outdoors. Generally stays in a dog run or yard.
Has a dog door for inside/outside access as they please
What does your dog do when you’re not home?
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Example: Sleeps, Relaxes, Barks, Doesn’t like being left alone, etc.
History
How long have you had your dog?
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Choose all that apply
My dogs temperament is.....
Shy
Friendly
Calm
Protective
Playful
Aloof
Hyperactive
Fearful
Aggressive
Talkative
Nervous
Anxious
Cuddly
My dog tends to....
React negatively to people in uniform
Fight with other dogs
React negatively to men
React negatively to women
React negatively to strangers
React negatively to other dogs
React negatively to children
Playful with other dogs
Playful with children
Chase moving objects (cats, cars, bikes, squirrels)
Playful with cats
Jump Fences
Bark
Howl
Have accidents in the house
Run away
Dig in the yard
Chew on items
Bite
Jump up on people
Nip
Social History
Is your dog good with children?
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Please select an option
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Yes
No
Is your dog good with cats or small animals?
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Please select an option
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Yes
No
Has your dog ever bit a human?
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Please select an option
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Yes
No
Who did they bite?
My 7 year old child, the neighbor, groomer, myself, etc.
What were the injuries?
Example: 2 punctures on their hand, 13 stitches
Has your dog been in a dog fight and bitten another dog?
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Yes
No
Did either dog go to the vet?
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Yes, my dog
Yes, their dog
Yes, both dogs
Neither dog needed vet care
Describe the situation
Has your dog ever caused another animal's death?
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Yes
No
Explain
Describe the ideal home
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You can write their biography here
Medical Needs
Any illnesses, conditions, allergies, or injuries?
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Please select an option
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Yes
No
Describe the illnesses, conditions, allergies, or injuries
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Does your dog require medications?
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Please select an option
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Yes
No
What medication and how often
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Does your dog require vet care?
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Please select an option
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Yes, right away
Yes, in the near future
No
What vet care do they need?
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Photo
Upload photo 1-3 clear photos of your dog
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Using the above information we require that you write a biography about your dog to be posted on social media. The more detail you give the more successful the post will be. We do not recommend including a phone number but instead having an email address to contact. Good quality photos are important for a successful post.
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Please check
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I am the legal owner of this dog and I am over the age of 19. I have answered all questions accurately and have not willfully misrepresented the health or temperament of the dog listed above in any way. I agree with the terms and conditions. I understand that the information submitted may be made public on Paws It Forwards Social Media and/or Website. It is my responsibility to reply to comments and to update Paws It Forward once I have found a home.Â
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