Other pets in household including name, species (e.g. dog, cat), breed (e.g. Golden Retriever, Siamese), Male/Female, Spayed/Neutered, current age, and age when obtained: 1. 2. 3. 4. 5. 6. List any major household changes since acquiring this dog (e.g. moves, illness/death of pets/people, added new people/pets to the household, etc.) Date: Event: Date: Event: Date: Acquisition Information: How old was this dog when acquired?____________________ How long have you had this dog?________________________ Where did you obtain this dog? Performance breeder (show, hunting, agility, etc)_______ Hobby breeder Private home/previous owner_______Shelter/rescue organization_______ Pet store_______Other (please describe) ______ Behavior of dog's parents/littermates (if known): Describe previous home(s) (if known): Why did you choose this… breed of dog? individual dog Why did you acquire this dog? (check all that apply): Adult's pet Family pet Children's pet Companion to other pet Protection Performance (show, hunting, agility, etc.) Breeding Other (please describe)_____________________________________________________
Other pets in household including name, species (e.g. dog, cat), breed (e.g. Golden Retriever, Siamese), Male/Female, Spayed/Neutered, current age, and age when obtained: 1. 2. 3. 4. 5. 6. List any major household changes since acquiring this dog (e.g. moves, illness/death of pets/people, added new people/pets to the household, etc.) Date: Event: Date: Event: Date: Acquisition Information: How old was this dog when acquired?____________________ How long have you had this dog?________________________ Where did you obtain this dog? Performance breeder (show, hunting, agility, etc)_______ Hobby breeder Private home/previous owner_______Shelter/rescue organization_______ Pet store_______Other (please describe) ______ Behavior of dog's parents/littermates (if known): Describe previous home(s) (if known): Why did you choose this… breed of dog? individual dog Why did you acquire this dog? (check all that apply): Adult's pet Family pet Children's pet Companion to other pet Protection Performance (show, hunting, agility, etc.) Breeding Other (please describe)_____________________________________________________