RESCUE DOG VILLAGE

Dog Intake / Foster Update Form

Staying True to Rescue

01. Dogs Name:		02. Purebred/Mix & Breed
03. Male or Female	Select Male Female	04. Age
05. Weight:		06. Health Status:
07. History/Rescue Story:		07a. Health History:

07b. Health Current Meds:

07c. Spayed/Neutered:

08.Activity Level:

Select High Moderate Low

09. Describe dog's personality; likes/dislikes:		10. Exercise needs:
11. Behavior with other dogs:		12. Behavior with kids:
13. Behavior with cats:		14. Food issues:
15. House trained - if unsure, put UNKNOWN:		16. Skills in the Car:
16a. Skills in the Crate		16b. Leash Skills
17. Fears:		18. What would the perfect home look like:
19. What special needs must be considered:		20. Current Vet Name & Phone:
21. Name of foster,kennel or shelter(this is helpful):		22. Phone, if available:
23. Email, if available:		24. Your Name
25. Date		26. Your email