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Blue Sky Rescue
Street Address
Wayzata, MN 55391
9522121008
Of Minnesota
Blue Sky Rescue
Welcome
About
Adoptable Animals
Apply
Contact
Name
*
First Name
Last Name
Email Address
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Dog's name
Breed
Coat color
Age
Weight
Male/Female
Age of dog when obtained
Microchip Company and Number
is the dog primarily a house dog, outdoor dog, or both
Is the dog housebroken? If not please explain
Can the dog be trusted to stay by itself in the house for extended periods of time
Does the dog jump fences, if yes, how high?
Has the dog been kept on a tether indoors or outdoors
Where does the dog sleep at night
When and where is the dog fed
What brand of dog food does the dog eat and quantity
Name of Veterinarian and Clinic
Vet Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Vet Phone
(###)
###
####
Vet Email
Has your dog been spayed or neutered, if yes, what age
Name of vet that provided this service
Is the dog current on the rabies and distemper shots
Dates last given
Can you provide a complete vet record
Does your dog have any health issues currently, if yes, please explain
Currently on medication, if yes, list medications
Any past injuries or health concerns, if yes please explain
The owner hereby states that this dog has not bitten a human or shown unprovoked aggression towards another domestic animal.
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owner's initials
Describe behaviors that may be difficult or annoying
Dog aggression, barking excessively, digging, jumping on people, marking territory, roaming, Barking at other dogs while on leash, pulling on leash, pottying in the house, cat aggression, other..
Is the dog living with other animals
if yes, what kind, how many
Does the dog get along with the animals
Age of children dog has been regularly exposed to and dog’s reaction:
Baby to 5 years
5-9
10-13
Older
Describe your dog:
Friendly
Shy
Active
Mellow
Aggressive
Destructive
Easy going
Nervous
Stubborn
Noisy
Quiet
Obedient
Playful
Protective
A one person dog
Other
Does the dog have any fears or negative reactions to:
Storms
Bicycles
Cars
Firecrackers
Strangers
Vacuums
Loud noises
Certain type of people
Other
Reaction to strangers
Does the dog strongly prefers men or women
Has the dog attended obedience classes or other training
Commands the dog knows
Sit
Down/Drop
Stay
Heel
Shake
Rollover
Come
Other
Where is you get your dog
Friend
Pet shop
Gift
Stray
Breeder
Animal shelter/rescue
Abandoned
Other
The information provided above is accurate and current.
*
Date
*
Thank you!