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DFW Pets Are Family
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Tell Us About Yourself
What service are you looking for assistance with?
Pet Food
Vaccines
Both Pet Food & Vaccines
Name
*
First Name
Last Name
Phone Number
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Please enter a valid phone number.
Email
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Zip Code
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Tell Us About Your Pets
Pet Name
*
Type
*
Please Select
Dog
Cat
Kitten
Other
Age
Please Select
Juvenile (Under Mos)
Adult (Between 5 Mos & 7 Yrs)
Senior (7+ Yrs)
Unknown
Gender
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Male
Male Neutered
Female
Female Spayed
Unknown
Breed
Please Select
Other
Mixed Breed
Domestic Short Hair
Affenspincher
Afghan Hound
Airedale Terrier
Akbash
Akbash/American Blue Heeler
Akbash/Basenji
Akbash/Briard
Akbash/Bulldog, French
Akita
Akita/Feist
Alaskan Malamute
American Blue Heeler
American Blue Heeler/Akita
American Blue Heeler/Brasileiro, Fila
American Bulldog
American Eskimo Dog
American Hairless Terrier
American Pitbull Terrier
American Staffordshire Terrier
American Water Spaniel
Anatolian Shepherd
Appenzell Mountain Dog
Appenzell Mountain Dog/Bulldog, English
Australian Cattle Dog (Blue Heeler)
Australian Kelpie
Australian Shepherd
Australian Terrier
Basenji
Basenji/Akita
Basset Hound
Beagle
Beagle/Akita
Beagle/Brasileiro, Fila
Beagle/Bulldog, English
Beagle/Foxhound, American
Bearded Collie
Beauceron/Bulldog, French
Bedlington Terrier
Belgian Shepherd Dog Sheepdog
Belgian Shepherd Laekenois
Belgian Shepherd Malinois
Belgian Shepherd Dog Tervuren
Bernese Mountain Dog
Bichon Frise
Black and Tan Coonhound
Black Labrador Retriever
Black Mouth Cur
Black Russian Terrier
Bloodhound
Blue Lacy
Bluetick Coonhound
Boorboel
Boorboel/American Blue Heeler
Bolognese
Border Collie
Borzoi
Boston Terrier
Bouvier Des Flanders
Boxer
Boykin Spaniel
Briard
Britanny Spaniel
Brussels Griffon
Bull Terrier
Bulldog, American/Briard
Bullmastiff
Cairn Terrier
Canaan Dog
Cane Corso
Cane Corso Mastiff
Carolina Dog
Catahoula Leopard Dog
Cattle Dog
Cattle Dog/Mix
Caucasian Sheepdog
Cavalier King Charles Spaniel
Chesapeake Bay Retriever
Chihuahua
Chihuahua/Mix
Chinese Crested Dog
Chinese Foo Dog
Chinook
Chocolate Labrador Retriever
Chow
Cirneco Dell'etna
Clumber Spaniel
Cockapoo
Cocker Spaniel
Collie
Collie, Border
Collie, Border/Mix
Coonhound
Corgi
Coton De Tulear
Curly-Coated Retriever
Dachshund
Dachshund/Mix
Dalmatian
Dandi Dinmont Terrier
Doberman Pinscher
Dogo Argentino
Dogue De Bordeaux
Dutch Shepherd
English Bulldog
English Cocker Spaniel
English Coonhound
English Pointer
English Setter
English Shepherd
English Springer Spaniel
English Toy Spaniel
Entlebucher
Eskimo Dog
Feist
Field Spaniel
Fila Brasileiro
Finnish Lapphund
Finnish Spitz
Flat-Coated Retriever
Fox Terrier
Foxhound
French Bulldog
Galgo Spanish Greyhound
German Pinscher
German Shepherd
German Shorthaired Pointer
German Spitz
German Wirehaired Pointer
Giant Schnauzer
Glen of Imaal Terrier
Golden Retriever
Gordon Setter
Great Dane
Great Pyrenees
Greater Swiss Mountain Dog
Greyhound
Harrier
Havanese
Hound
Hound/Affenpinscher
Hovawart
Husky
Husky/Mix
Ibizan Hound
Icelandic Sheepdog
Irish Setter
Irish Terrier
Irish Water Spaniel
Irish Wolfhound
Italian Greyhound
Italian Spinone
Jack Russell Terrier
Japanese Chin
Jindo
Kai Dog
Karelian Bear Dog
Keeshond
Kerry Blue Terrier
Klee Kai
Komondor
Kuvasz
Kyi Leo
Labrador Retriever
Lakeland Terrier
Lancashire Heeler
Leonberger
Lhasa Apso
Maltese
Manchester Terrier
Maremma Sheepdog
Mastiff
Mcnab
Miniature Pinscher
Mountain Cur
Mountain Dog
Neopolitan Mastiff
New Guinea Singing Dog
Newfoundland Dog
Norfolk Terrier
Norwegian Buhund
Norwegian Elkhund
Norwegian Lunderhund
Norwich Terrier
Nova Scotia Duck-Tolling Retriever
Old English Sheepdog
Old English Bulldogge
Otterhound
Papillon
Patterdale Terrier (Fell Terrier)
Pekingese
Peruvian Inca Orchid
Petit Basset Griffon Vendeen
Pharaoh Hound
Pit Bull Terrier
Plott Hound
Podengo Portugueso
Pointer
Polish Lowland Sheepdog
Pomeranian
Poodle
Portuguese Water Dog
Presa Canario
Pug
Puli
Pumi
Rat Terrier
Redbone Coonhound
Retriever
Retriever, Labrador/Mix
Rhodesian Ridgeback
Rottweiler
Saint Bernard
Saluki
Samoyed
Schipperke
Schnauzer
Scottish Deerhound
Scottish Terrier Scottie
Sealyham Terrier
Setter
Shar Pei
Sheep Dog
Shepherd
Shepherd, German/Mix
Shetland Sheepdog Sheltie
Shiba Inu
Shih Tzu
Siberian Husky
Silky Terrier
Skye Terrier
Sloughi
Smooth Fox Terrier
Spaniel
Spitz
Staffordshire Bull Terrier
Staffordshire Bull Terrier/Whippet
Standard Poodle
Sussex Spaniel
Spanish Vallhund
Terrier
Terrier (medium coat)
Terrier, American Staffordshire/Mix
Terrier, Boston/Mix
Terrier/Mix
Thai Ridgeback
Tibetan Mastiff
Tibetan Spaniel
Tibetan Terrier
Toy Fox Terrier
Treeing Walker Coonhound
Vizsla
Weimaraner
Welsh Corgi
Welsh Springer Spaniel
Welsh Terrier
West Highland White Terrier Westie
Wheaten Terrier
Whippet
Whippet/Mix
White German Shepherd
Wire Fox Terrier
Wirehaired Pointing Griffon
Wirehaired Terrier
Xoloitzcuintle (Mexican Hairless)
Yellow Labrador Retriever
Yorkshire Terrier Yorkie
Domestic Long Hair
Domestic Medium Hair
Abyssinian
Abyssinian/Balinese
American Bobtail
American Bobtail/American Wirehair
American Curl
American Curl/Abyssinian
American Curl/Balinese
American Shorthair/American Bobtail
American Shorthair/Burmese
American Wirehair
American Wirehair/American Curl
American Wirehair/American Shortnair
Applehead Siamese
Balinese
Bengal
Birman
Bobtail
Bombay
British Shorthair
Burmese
Burmilla
Calico
Chartreux
Chausie
Chinchilla
Cornish Rex
Cymric
Cymric/Devon Rex
Devon Rex
Dilute Calico
Dilute Tortoiseshell
Domestic Long Hair - Brown
Domestic Long Hair - Buff
Domestic Long Hair - Buff and White
Domestic Long Hair - Gray and White
Domestic Long Hair - Orange
Domestic Long Hair - Orange And White
Domestic Long Hair - Black
Domestic Long Hair - Black and White
Domestic Long Hair - Gray
Domestic Long Hair - White
Domestic Medium Hair - Black
Domestic Medium Hair - Black and White
Domestic Medium Hair - Brown
Domestic Medium Hair - Buff
Domestic Medium Hair - Buff and White
Domestic Medium Hair - Gray
Domestic Medium Hair - Gray and White
Domestic Medium Hair - Orange
Domestic Medium Hair - Orange and White
Domestic Medium Hair - White
Domestic Short Hair - Brown
Domestic Short Hair - Buff
Domestic Short Hair - Buff and White
Domestic Short Hair - Gray and White
Domestic Short Hair - Orange
Domestic Short Hair - Orange and White
Domestic Short Hair - Black
Domestic Short Hair - Black and White
Domestic Short Hair - Gray
Domestic Short Hair - Mitted
Domestic Short Hair - Orange
Domestic Short Hair - White
Domestic Short Hair/Burmese
Egyptian Mau
Exotic Longhair
Exotic Shorthair
Extra-Toes Cat (Hemingway Polydactyl)
Havana
Himalayan
Japanese Bobtail
Javanese
Korat
Laperm
Maine Coon
Manx
Munchkin
Nebelung
Norwegian Forest Cat
Ocicat
Oriental Long Hair
Oriental Short Hair
Oriental Tabby
Persian
Pixie-Bob
Ragamuffin
Ragdoll
Russian Blue
Scottish Fold
Selkirk Rex
Siamese
Siamese/Mix
Siamese/Snowshoe
Somali
Sphynx (Hairless Cat)
Tabby
Tabby - Black
Tabby - Brown
Tabby - Buff
Tabby - Grey
Tabby - Orange
Tabby - White
Tiger
Tonkinese
Tonkinese/Selkirk Rex
Torbie
Tortoiseshell
Turkish Angora
Turkish Van
Tuxedo
Pet 1 Outcome
Is this pet microchipped?
Please Select
Yes
No
Unknown
Do you have any other pets?
*
Yes
No
Additional Pets Information
You may add up to 4 more additional pets.
Second Pet's Name
Type
Please Select
Dog
Cat
Kitten
Other
Age
Please Select
Juvenile (Under Mos)
Adult (Between 5 Mos & 7 Yrs)
Senior (7+ Yrs)
Unknown
Gender
Please Select
Male
Male Neutered
Female
Female Spayed
Unknown
Breed
Please Select
Other
Mixed Breed
Affenspincher
Afghan Hound
Airedale Terrier
Akbash
Akbash/American Blue Heeler
Akbash/Basenji
Akbash/Briard
Akbash/Bulldog, French
Akita
Akita/Feist
Alaskan Malamute
American Blue Heeler
American Blue Heeler/Akita
American Blue Heeler/Brasileiro, Fila
American Bulldog
American Eskimo Dog
American Hairless Terrier
American Pitbull Terrier
American Staffordshire Terrier
American Water Spaniel
Anatolian Shepherd
Appenzell Mountain Dog
Appenzell Mountain Dog/Bulldog, English
Australian Cattle Dog (Blue Heeler)
Australian Kelpie
Australian Shepherd
Australian Terrier
Basenji
Basenji/Akita
Basset Hound
Beagle
Beagle/Akita
Beagle/Brasileiro, Fila
Beagle/Bulldog, English
Beagle/Foxhound, American
Bearded Collie
Beauceron/Bulldog, French
Bedlington Terrier
Belgian Shepherd Dog Sheepdog
Belgian Shepherd Laekenois
Belgian Shepherd Malinois
Belgian Shepherd Dog Tervuren
Bernese Mountain Dog
Bichon Frise
Black and Tan Coonhound
Black Labrador Retriever
Black Mouth Cur
Black Russian Terrier
Bloodhound
Blue Lacy
Bluetick Coonhound
Boorboel
Boorboel/American Blue Heeler
Bolognese
Border Collie
Borzoi
Boston Terrier
Bouvier Des Flanders
Boxer
Boykin Spaniel
Briard
Britanny Spaniel
Brussels Griffon
Bull Terrier
Bulldog, American/Briard
Bullmastiff
Cairn Terrier
Canaan Dog
Cane Corso
Cane Corso Mastiff
Carolina Dog
Catahoula Leopard Dog
Cattle Dog
Cattle Dog/Mix
Caucasian Sheepdog
Cavalier King Charles Spaniel
Chesapeake Bay Retriever
Chihuahua
Chihuahua/Mix
Chinese Crested Dog
Chinese Foo Dog
Chinook
Chocolate Labrador Retriever
Chow
Cirneco Dell'etna
Clumber Spaniel
Cockapoo
Cocker Spaniel
Collie
Collie, Border
Collie, Border/Mix
Coonhound
Corgi
Coton De Tulear
Curly-Coated Retriever
Dachshund
Dachshund/Mix
Dalmatian
Dandi Dinmont Terrier
Doberman Pinscher
Dogo Argentino
Dogue De Bordeaux
Dutch Shepherd
English Bulldog
English Cocker Spaniel
English Coonhound
English Pointer
English Setter
English Shepherd
English Springer Spaniel
English Toy Spaniel
Entlebucher
Eskimo Dog
Feist
Field Spaniel
Fila Brasileiro
Finnish Lapphund
Finnish Spitz
Flat-Coated Retriever
Fox Terrier
Foxhound
French Bulldog
Galgo Spanish Greyhound
German Pinscher
German Shepherd
German Shorthaired Pointer
German Spitz
German Wirehaired Pointer
Giant Schnauzer
Glen of Imaal Terrier
Golden Retriever
Gordon Setter
Great Dane
Great Pyrenees
Greater Swiss Mountain Dog
Greyhound
Harrier
Havanese
Hound
Hound/Affenpinscher
Hovawart
Husky
Husky/Mix
Ibizan Hound
Icelandic Sheepdog
Irish Setter
Irish Terrier
Irish Water Spaniel
Irish Wolfhound
Italian Greyhound
Italian Spinone
Jack Russell Terrier
Japanese Chin
Jindo
Kai Dog
Karelian Bear Dog
Keeshond
Kerry Blue Terrier
Klee Kai
Komondor
Kuvasz
Kyi Leo
Labrador Retriever
Lakeland Terrier
Lancashire Heeler
Leonberger
Lhasa Apso
Maltese
Manchester Terrier
Maremma Sheepdog
Mastiff
Mcnab
Miniature Pinscher
Mountain Cur
Mountain Dog
Neopolitan Mastiff
New Guinea Singing Dog
Newfoundland Dog
Norfolk Terrier
Norwegian Buhund
Norwegian Elkhund
Norwegian Lunderhund
Norwich Terrier
Nova Scotia Duck-Tolling Retriever
Old English Sheepdog
Old English Bulldogge
Otterhound
Papillon
Patterdale Terrier (Fell Terrier)
Pekingese
Peruvian Inca Orchid
Petit Basset Griffon Vendeen
Pharaoh Hound
Pit Bull Terrier
Plott Hound
Podengo Portugueso
Pointer
Polish Lowland Sheepdog
Pomeranian
Poodle
Portuguese Water Dog
Presa Canario
Pug
Puli
Pumi
Rat Terrier
Redbone Coonhound
Retriever
Retriever, Labrador/Mix
Rhodesian Ridgeback
Rottweiler
Saint Bernard
Saluki
Samoyed
Schipperke
Schnauzer
Scottish Deerhound
Scottish Terrier Scottie
Sealyham Terrier
Setter
Shar Pei
Sheep Dog
Shepherd
Shepherd, German/Mix
Shetland Sheepdog Sheltie
Shiba Inu
Shih Tzu
Siberian Husky
Silky Terrier
Skye Terrier
Sloughi
Smooth Fox Terrier
Spaniel
Spitz
Staffordshire Bull Terrier
Staffordshire Bull Terrier/Whippet
Standard Poodle
Sussex Spaniel
Spanish Vallhund
Terrier
Terrier (medium coat)
Terrier, American Staffordshire/Mix
Terrier, Boston/Mix
Terrier/Mix
Thai Ridgeback
Tibetan Mastiff
Tibetan Spaniel
Tibetan Terrier
Toy Fox Terrier
Treeing Walker Coonhound
Vizsla
Weimaraner
Welsh Corgi
Welsh Springer Spaniel
Welsh Terrier
West Highland White Terrier Westie
Wheaten Terrier
Whippet
Whippet/Mix
White German Shepherd
Wire Fox Terrier
Wirehaired Pointing Griffon
Wirehaired Terrier
Xoloitzcuintle (Mexican Hairless)
Yellow Labrador Retriever
Yorkshire Terrier Yorkie
Domestic Long Hair
Domestic Medium Hair
Domestic Short Hair
Abyssinian
Abyssinian/Balinese
American Bobtail
American Bobtail/American Wirehair
American Curl
American Curl/Abyssinian
American Curl/Balinese
American Shorthair/American Bobtail
American Shorthair/Burmese
American Wirehair
American Wirehair/American Curl
American Wirehair/American Shortnair
Applehead Siamese
Balinese
Bengal
Birman
Bobtail
Bombay
British Shorthair
Burmese
Burmilla
Calico
Chartreux
Chausie
Chinchilla
Cornish Rex
Cymric
Cymric/Devon Rex
Devon Rex
Dilute Calico
Dilute Tortoiseshell
Domestic Long Hair - Brown
Domestic Long Hair - Buff
Domestic Long Hair - Buff and White
Domestic Long Hair - Gray and White
Domestic Long Hair - Orange
Domestic Long Hair - Orange And White
Domestic Long Hair - Black
Domestic Long Hair - Black and White
Domestic Long Hair - Gray
Domestic Long Hair - White
Domestic Medium Hair - Black
Domestic Medium Hair - Black and White
Domestic Medium Hair - Brown
Domestic Medium Hair - Buff
Domestic Medium Hair - Buff and White
Domestic Medium Hair - Gray
Domestic Medium Hair - Gray and White
Domestic Medium Hair - Orange
Domestic Medium Hair - Orange and White
Domestic Medium Hair - White
Domestic Short Hair - Brown
Domestic Short Hair - Buff
Domestic Short Hair - Buff and White
Domestic Short Hair - Gray and White
Domestic Short Hair - Orange
Domestic Short Hair - Orange and White
Domestic Short Hair - Black
Domestic Short Hair - Black and White
Domestic Short Hair - Gray
Domestic Short Hair - Mitted
Domestic Short Hair - Orange
Domestic Short Hair - White
Domestic Short Hair/Burmese
Egyptian Mau
Exotic Longhair
Exotic Shorthair
Extra-Toes Cat (Hemingway Polydactyl)
Havana
Himalayan
Japanese Bobtail
Javanese
Korat
Laperm
Maine Coon
Manx
Munchkin
Nebelung
Norwegian Forest Cat
Ocicat
Oriental Long Hair
Oriental Short Hair
Oriental Tabby
Persian
Pixie-Bob
Ragamuffin
Ragdoll
Russian Blue
Scottish Fold
Selkirk Rex
Siamese
Siamese/Mix
Siamese/Snowshoe
Somali
Sphynx (Hairless Cat)
Tabby
Tabby - Black
Tabby - Brown
Tabby - Buff
Tabby - Grey
Tabby - Orange
Tabby - White
Tiger
Tonkinese
Tonkinese/Selkirk Rex
Torbie
Tortoiseshell
Turkish Angora
Turkish Van
Tuxedo
Pet 2 Outcome
Is this pet microchipped?
Please Select
Yes
No
Unknown
Third Pet's Name
Type
Please Select
Dog
Cat
Kitten
Other
Age
Please Select
Juvenile (Under Mos)
Adult (Between 5 Mos & 7 Yrs)
Senior (7+ Yrs)
Unknown
Gender
Please Select
Male
Male Neutered
Female
Female Spayed
Unknown
Breed
Please Select
Other
Mixed Breed
Affenspincher
Afghan Hound
Airedale Terrier
Akbash
Akbash/American Blue Heeler
Akbash/Basenji
Akbash/Briard
Akbash/Bulldog, French
Akita
Akita/Feist
Alaskan Malamute
American Blue Heeler
American Blue Heeler/Akita
American Blue Heeler/Brasileiro, Fila
American Bulldog
American Eskimo Dog
American Hairless Terrier
American Pitbull Terrier
American Staffordshire Terrier
American Water Spaniel
Anatolian Shepherd
Appenzell Mountain Dog
Appenzell Mountain Dog/Bulldog, English
Australian Cattle Dog (Blue Heeler)
Australian Kelpie
Australian Shepherd
Australian Terrier
Basenji
Basenji/Akita
Basset Hound
Beagle
Beagle/Akita
Beagle/Brasileiro, Fila
Beagle/Bulldog, English
Beagle/Foxhound, American
Bearded Collie
Beauceron/Bulldog, French
Bedlington Terrier
Belgian Shepherd Dog Sheepdog
Belgian Shepherd Laekenois
Belgian Shepherd Malinois
Belgian Shepherd Dog Tervuren
Bernese Mountain Dog
Bichon Frise
Black and Tan Coonhound
Black Labrador Retriever
Black Mouth Cur
Black Russian Terrier
Bloodhound
Blue Lacy
Bluetick Coonhound
Boorboel
Boorboel/American Blue Heeler
Bolognese
Border Collie
Borzoi
Boston Terrier
Bouvier Des Flanders
Boxer
Boykin Spaniel
Briard
Britanny Spaniel
Brussels Griffon
Bull Terrier
Bulldog, American/Briard
Bullmastiff
Cairn Terrier
Canaan Dog
Cane Corso
Cane Corso Mastiff
Carolina Dog
Catahoula Leopard Dog
Cattle Dog
Cattle Dog/Mix
Caucasian Sheepdog
Cavalier King Charles Spaniel
Chesapeake Bay Retriever
Chihuahua
Chihuahua/Mix
Chinese Crested Dog
Chinese Foo Dog
Chinook
Chocolate Labrador Retriever
Chow
Cirneco Dell'etna
Clumber Spaniel
Cockapoo
Cocker Spaniel
Collie
Collie, Border
Collie, Border/Mix
Coonhound
Corgi
Coton De Tulear
Curly-Coated Retriever
Dachshund
Dachshund/Mix
Dalmatian
Dandi Dinmont Terrier
Doberman Pinscher
Dogo Argentino
Dogue De Bordeaux
Dutch Shepherd
English Bulldog
English Cocker Spaniel
English Coonhound
English Pointer
English Setter
English Shepherd
English Springer Spaniel
English Toy Spaniel
Entlebucher
Eskimo Dog
Feist
Field Spaniel
Fila Brasileiro
Finnish Lapphund
Finnish Spitz
Flat-Coated Retriever
Fox Terrier
Foxhound
French Bulldog
Galgo Spanish Greyhound
German Pinscher
German Shepherd
German Shorthaired Pointer
German Spitz
German Wirehaired Pointer
Giant Schnauzer
Glen of Imaal Terrier
Golden Retriever
Gordon Setter
Great Dane
Great Pyrenees
Greater Swiss Mountain Dog
Greyhound
Harrier
Havanese
Hound
Hound/Affenpinscher
Hovawart
Husky
Husky/Mix
Ibizan Hound
Icelandic Sheepdog
Irish Setter
Irish Terrier
Irish Water Spaniel
Irish Wolfhound
Italian Greyhound
Italian Spinone
Jack Russell Terrier
Japanese Chin
Jindo
Kai Dog
Karelian Bear Dog
Keeshond
Kerry Blue Terrier
Klee Kai
Komondor
Kuvasz
Kyi Leo
Labrador Retriever
Lakeland Terrier
Lancashire Heeler
Leonberger
Lhasa Apso
Maltese
Manchester Terrier
Maremma Sheepdog
Mastiff
Mcnab
Miniature Pinscher
Mountain Cur
Mountain Dog
Neopolitan Mastiff
New Guinea Singing Dog
Newfoundland Dog
Norfolk Terrier
Norwegian Buhund
Norwegian Elkhund
Norwegian Lunderhund
Norwich Terrier
Nova Scotia Duck-Tolling Retriever
Old English Sheepdog
Old English Bulldogge
Otterhound
Papillon
Patterdale Terrier (Fell Terrier)
Pekingese
Peruvian Inca Orchid
Petit Basset Griffon Vendeen
Pharaoh Hound
Pit Bull Terrier
Plott Hound
Podengo Portugueso
Pointer
Polish Lowland Sheepdog
Pomeranian
Poodle
Portuguese Water Dog
Presa Canario
Pug
Puli
Pumi
Rat Terrier
Redbone Coonhound
Retriever
Retriever, Labrador/Mix
Rhodesian Ridgeback
Rottweiler
Saint Bernard
Saluki
Samoyed
Schipperke
Schnauzer
Scottish Deerhound
Scottish Terrier Scottie
Sealyham Terrier
Setter
Shar Pei
Sheep Dog
Shepherd
Shepherd, German/Mix
Shetland Sheepdog Sheltie
Shiba Inu
Shih Tzu
Siberian Husky
Silky Terrier
Skye Terrier
Sloughi
Smooth Fox Terrier
Spaniel
Spitz
Staffordshire Bull Terrier
Staffordshire Bull Terrier/Whippet
Standard Poodle
Sussex Spaniel
Spanish Vallhund
Terrier
Terrier (medium coat)
Terrier, American Staffordshire/Mix
Terrier, Boston/Mix
Terrier/Mix
Thai Ridgeback
Tibetan Mastiff
Tibetan Spaniel
Tibetan Terrier
Toy Fox Terrier
Treeing Walker Coonhound
Vizsla
Weimaraner
Welsh Corgi
Welsh Springer Spaniel
Welsh Terrier
West Highland White Terrier Westie
Wheaten Terrier
Whippet
Whippet/Mix
White German Shepherd
Wire Fox Terrier
Wirehaired Pointing Griffon
Wirehaired Terrier
Xoloitzcuintle (Mexican Hairless)
Yellow Labrador Retriever
Yorkshire Terrier Yorkie
Domestic Long Hair
Domestic Medium Hair
Domestic Short Hair
Abyssinian
Abyssinian/Balinese
American Bobtail
American Bobtail/American Wirehair
American Curl
American Curl/Abyssinian
American Curl/Balinese
American Shorthair/American Bobtail
American Shorthair/Burmese
American Wirehair
American Wirehair/American Curl
American Wirehair/American Shortnair
Applehead Siamese
Balinese
Bengal
Birman
Bobtail
Bombay
British Shorthair
Burmese
Burmilla
Calico
Chartreux
Chausie
Chinchilla
Cornish Rex
Cymric
Cymric/Devon Rex
Devon Rex
Dilute Calico
Dilute Tortoiseshell
Domestic Long Hair - Brown
Domestic Long Hair - Buff
Domestic Long Hair - Buff and White
Domestic Long Hair - Gray and White
Domestic Long Hair - Orange
Domestic Long Hair - Orange And White
Domestic Long Hair - Black
Domestic Long Hair - Black and White
Domestic Long Hair - Gray
Domestic Long Hair - White
Domestic Medium Hair - Black
Domestic Medium Hair - Black and White
Domestic Medium Hair - Brown
Domestic Medium Hair - Buff
Domestic Medium Hair - Buff and White
Domestic Medium Hair - Gray
Domestic Medium Hair - Gray and White
Domestic Medium Hair - Orange
Domestic Medium Hair - Orange and White
Domestic Medium Hair - White
Domestic Short Hair - Brown
Domestic Short Hair - Buff
Domestic Short Hair - Buff and White
Domestic Short Hair - Gray and White
Domestic Short Hair - Orange
Domestic Short Hair - Orange and White
Domestic Short Hair - Black
Domestic Short Hair - Black and White
Domestic Short Hair - Gray
Domestic Short Hair - Mitted
Domestic Short Hair - Orange
Domestic Short Hair - White
Domestic Short Hair/Burmese
Egyptian Mau
Exotic Longhair
Exotic Shorthair
Extra-Toes Cat (Hemingway Polydactyl)
Havana
Himalayan
Japanese Bobtail
Javanese
Korat
Laperm
Maine Coon
Manx
Munchkin
Nebelung
Norwegian Forest Cat
Ocicat
Oriental Long Hair
Oriental Short Hair
Oriental Tabby
Persian
Pixie-Bob
Ragamuffin
Ragdoll
Russian Blue
Scottish Fold
Selkirk Rex
Siamese
Siamese/Mix
Siamese/Snowshoe
Somali
Sphynx (Hairless Cat)
Tabby
Tabby - Black
Tabby - Brown
Tabby - Buff
Tabby - Grey
Tabby - Orange
Tabby - White
Tiger
Tonkinese
Tonkinese/Selkirk Rex
Torbie
Tortoiseshell
Turkish Angora
Turkish Van
Tuxedo
Pet 3 Outcome
Is this pet microchipped?
Please Select
Yes
No
Unknown
Fourth Pet's Name
Type
Please Select
Dog
Cat
Kitten
Other
Age
Please Select
Juvenile (Under Mos)
Adult (Between 5 Mos & 7 Yrs)
Senior (7+ Yrs)
Unknown
Gender
Please Select
Male
Male Neutered
Female
Female Spayed
Unknown
Breed
Please Select
Other
Mixed Breed
Affenspincher
Afghan Hound
Airedale Terrier
Akbash
Akbash/American Blue Heeler
Akbash/Basenji
Akbash/Briard
Akbash/Bulldog, French
Akita
Akita/Feist
Alaskan Malamute
American Blue Heeler
American Blue Heeler/Akita
American Blue Heeler/Brasileiro, Fila
American Bulldog
American Eskimo Dog
American Hairless Terrier
American Pitbull Terrier
American Staffordshire Terrier
American Water Spaniel
Anatolian Shepherd
Appenzell Mountain Dog
Appenzell Mountain Dog/Bulldog, English
Australian Cattle Dog (Blue Heeler)
Australian Kelpie
Australian Shepherd
Australian Terrier
Basenji
Basenji/Akita
Basset Hound
Beagle
Beagle/Akita
Beagle/Brasileiro, Fila
Beagle/Bulldog, English
Beagle/Foxhound, American
Bearded Collie
Beauceron/Bulldog, French
Bedlington Terrier
Belgian Shepherd Dog Sheepdog
Belgian Shepherd Laekenois
Belgian Shepherd Malinois
Belgian Shepherd Dog Tervuren
Bernese Mountain Dog
Bichon Frise
Black and Tan Coonhound
Black Labrador Retriever
Black Mouth Cur
Black Russian Terrier
Bloodhound
Blue Lacy
Bluetick Coonhound
Boorboel
Boorboel/American Blue Heeler
Bolognese
Border Collie
Borzoi
Boston Terrier
Bouvier Des Flanders
Boxer
Boykin Spaniel
Briard
Britanny Spaniel
Brussels Griffon
Bull Terrier
Bulldog, American/Briard
Bullmastiff
Cairn Terrier
Canaan Dog
Cane Corso
Cane Corso Mastiff
Carolina Dog
Catahoula Leopard Dog
Cattle Dog
Cattle Dog/Mix
Caucasian Sheepdog
Cavalier King Charles Spaniel
Chesapeake Bay Retriever
Chihuahua
Chihuahua/Mix
Chinese Crested Dog
Chinese Foo Dog
Chinook
Chocolate Labrador Retriever
Chow
Cirneco Dell'etna
Clumber Spaniel
Cockapoo
Cocker Spaniel
Collie
Collie, Border
Collie, Border/Mix
Coonhound
Corgi
Coton De Tulear
Curly-Coated Retriever
Dachshund
Dachshund/Mix
Dalmatian
Dandi Dinmont Terrier
Doberman Pinscher
Dogo Argentino
Dogue De Bordeaux
Dutch Shepherd
English Bulldog
English Cocker Spaniel
English Coonhound
English Pointer
English Setter
English Shepherd
English Springer Spaniel
English Toy Spaniel
Entlebucher
Eskimo Dog
Feist
Field Spaniel
Fila Brasileiro
Finnish Lapphund
Finnish Spitz
Flat-Coated Retriever
Fox Terrier
Foxhound
French Bulldog
Galgo Spanish Greyhound
German Pinscher
German Shepherd
German Shorthaired Pointer
German Spitz
German Wirehaired Pointer
Giant Schnauzer
Glen of Imaal Terrier
Golden Retriever
Gordon Setter
Great Dane
Great Pyrenees
Greater Swiss Mountain Dog
Greyhound
Harrier
Havanese
Hound
Hound/Affenpinscher
Hovawart
Husky
Husky/Mix
Ibizan Hound
Icelandic Sheepdog
Irish Setter
Irish Terrier
Irish Water Spaniel
Irish Wolfhound
Italian Greyhound
Italian Spinone
Jack Russell Terrier
Japanese Chin
Jindo
Kai Dog
Karelian Bear Dog
Keeshond
Kerry Blue Terrier
Klee Kai
Komondor
Kuvasz
Kyi Leo
Labrador Retriever
Lakeland Terrier
Lancashire Heeler
Leonberger
Lhasa Apso
Maltese
Manchester Terrier
Maremma Sheepdog
Mastiff
Mcnab
Miniature Pinscher
Mountain Cur
Mountain Dog
Neopolitan Mastiff
New Guinea Singing Dog
Newfoundland Dog
Norfolk Terrier
Norwegian Buhund
Norwegian Elkhund
Norwegian Lunderhund
Norwich Terrier
Nova Scotia Duck-Tolling Retriever
Old English Sheepdog
Old English Bulldogge
Otterhound
Papillon
Patterdale Terrier (Fell Terrier)
Pekingese
Peruvian Inca Orchid
Petit Basset Griffon Vendeen
Pharaoh Hound
Pit Bull Terrier
Plott Hound
Podengo Portugueso
Pointer
Polish Lowland Sheepdog
Pomeranian
Poodle
Portuguese Water Dog
Presa Canario
Pug
Puli
Pumi
Rat Terrier
Redbone Coonhound
Retriever
Retriever, Labrador/Mix
Rhodesian Ridgeback
Rottweiler
Saint Bernard
Saluki
Samoyed
Schipperke
Schnauzer
Scottish Deerhound
Scottish Terrier Scottie
Sealyham Terrier
Setter
Shar Pei
Sheep Dog
Shepherd
Shepherd, German/Mix
Shetland Sheepdog Sheltie
Shiba Inu
Shih Tzu
Siberian Husky
Silky Terrier
Skye Terrier
Sloughi
Smooth Fox Terrier
Spaniel
Spitz
Staffordshire Bull Terrier
Staffordshire Bull Terrier/Whippet
Standard Poodle
Sussex Spaniel
Spanish Vallhund
Terrier
Terrier (medium coat)
Terrier, American Staffordshire/Mix
Terrier, Boston/Mix
Terrier/Mix
Thai Ridgeback
Tibetan Mastiff
Tibetan Spaniel
Tibetan Terrier
Toy Fox Terrier
Treeing Walker Coonhound
Vizsla
Weimaraner
Welsh Corgi
Welsh Springer Spaniel
Welsh Terrier
West Highland White Terrier Westie
Wheaten Terrier
Whippet
Whippet/Mix
White German Shepherd
Wire Fox Terrier
Wirehaired Pointing Griffon
Wirehaired Terrier
Xoloitzcuintle (Mexican Hairless)
Yellow Labrador Retriever
Yorkshire Terrier Yorkie
Domestic Long Hair
Domestic Medium Hair
Domestic Short Hair
Abyssinian
Abyssinian/Balinese
American Bobtail
American Bobtail/American Wirehair
American Curl
American Curl/Abyssinian
American Curl/Balinese
American Shorthair/American Bobtail
American Shorthair/Burmese
American Wirehair
American Wirehair/American Curl
American Wirehair/American Shortnair
Applehead Siamese
Balinese
Bengal
Birman
Bobtail
Bombay
British Shorthair
Burmese
Burmilla
Calico
Chartreux
Chausie
Chinchilla
Cornish Rex
Cymric
Cymric/Devon Rex
Devon Rex
Dilute Calico
Dilute Tortoiseshell
Domestic Long Hair - Brown
Domestic Long Hair - Buff
Domestic Long Hair - Buff and White
Domestic Long Hair - Gray and White
Domestic Long Hair - Orange
Domestic Long Hair - Orange And White
Domestic Long Hair - Black
Domestic Long Hair - Black and White
Domestic Long Hair - Gray
Domestic Long Hair - White
Domestic Medium Hair - Black
Domestic Medium Hair - Black and White
Domestic Medium Hair - Brown
Domestic Medium Hair - Buff
Domestic Medium Hair - Buff and White
Domestic Medium Hair - Gray
Domestic Medium Hair - Gray and White
Domestic Medium Hair - Orange
Domestic Medium Hair - Orange and White
Domestic Medium Hair - White
Domestic Short Hair - Brown
Domestic Short Hair - Buff
Domestic Short Hair - Buff and White
Domestic Short Hair - Gray and White
Domestic Short Hair - Orange
Domestic Short Hair - Orange and White
Domestic Short Hair - Black
Domestic Short Hair - Black and White
Domestic Short Hair - Gray
Domestic Short Hair - Mitted
Domestic Short Hair - Orange
Domestic Short Hair - White
Domestic Short Hair/Burmese
Egyptian Mau
Exotic Longhair
Exotic Shorthair
Extra-Toes Cat (Hemingway Polydactyl)
Havana
Himalayan
Japanese Bobtail
Javanese
Korat
Laperm
Maine Coon
Manx
Munchkin
Nebelung
Norwegian Forest Cat
Ocicat
Oriental Long Hair
Oriental Short Hair
Oriental Tabby
Persian
Pixie-Bob
Ragamuffin
Ragdoll
Russian Blue
Scottish Fold
Selkirk Rex
Siamese
Siamese/Mix
Siamese/Snowshoe
Somali
Sphynx (Hairless Cat)
Tabby
Tabby - Black
Tabby - Brown
Tabby - Buff
Tabby - Grey
Tabby - Orange
Tabby - White
Tiger
Tonkinese
Tonkinese/Selkirk Rex
Torbie
Tortoiseshell
Turkish Angora
Turkish Van
Tuxedo
Pet 4 Outcome
Is this pet microchipped?
Please Select
Yes
No
Unknown
Fifth Pet's Name
Type
Please Select
Dog
Cat
Kitten
Other
Age
Please Select
Juvenile (Under Mos)
Adult (Between 5 Mos & 7 Yrs)
Senior (7+ Yrs)
Unknown
Gender
Please Select
Male
Male Neutered
Female
Female Spayed
Unknown
Breed
Please Select
Other
Mixed Breed
Affenspincher
Afghan Hound
Airedale Terrier
Akbash
Akbash/American Blue Heeler
Akbash/Basenji
Akbash/Briard
Akbash/Bulldog, French
Akita
Akita/Feist
Alaskan Malamute
American Blue Heeler
American Blue Heeler/Akita
American Blue Heeler/Brasileiro, Fila
American Bulldog
American Eskimo Dog
American Hairless Terrier
American Pitbull Terrier
American Staffordshire Terrier
American Water Spaniel
Anatolian Shepherd
Appenzell Mountain Dog
Appenzell Mountain Dog/Bulldog, English
Australian Cattle Dog (Blue Heeler)
Australian Kelpie
Australian Shepherd
Australian Terrier
Basenji
Basenji/Akita
Basset Hound
Beagle
Beagle/Akita
Beagle/Brasileiro, Fila
Beagle/Bulldog, English
Beagle/Foxhound, American
Bearded Collie
Beauceron/Bulldog, French
Bedlington Terrier
Belgian Shepherd Dog Sheepdog
Belgian Shepherd Laekenois
Belgian Shepherd Malinois
Belgian Shepherd Dog Tervuren
Bernese Mountain Dog
Bichon Frise
Black and Tan Coonhound
Black Labrador Retriever
Black Mouth Cur
Black Russian Terrier
Bloodhound
Blue Lacy
Bluetick Coonhound
Boorboel
Boorboel/American Blue Heeler
Bolognese
Border Collie
Borzoi
Boston Terrier
Bouvier Des Flanders
Boxer
Boykin Spaniel
Briard
Britanny Spaniel
Brussels Griffon
Bull Terrier
Bulldog, American/Briard
Bullmastiff
Cairn Terrier
Canaan Dog
Cane Corso
Cane Corso Mastiff
Carolina Dog
Catahoula Leopard Dog
Cattle Dog
Cattle Dog/Mix
Caucasian Sheepdog
Cavalier King Charles Spaniel
Chesapeake Bay Retriever
Chihuahua
Chihuahua/Mix
Chinese Crested Dog
Chinese Foo Dog
Chinook
Chocolate Labrador Retriever
Chow
Cirneco Dell'etna
Clumber Spaniel
Cockapoo
Cocker Spaniel
Collie
Collie, Border
Collie, Border/Mix
Coonhound
Corgi
Coton De Tulear
Curly-Coated Retriever
Dachshund
Dachshund/Mix
Dalmatian
Dandi Dinmont Terrier
Doberman Pinscher
Dogo Argentino
Dogue De Bordeaux
Dutch Shepherd
English Bulldog
English Cocker Spaniel
English Coonhound
English Pointer
English Setter
English Shepherd
English Springer Spaniel
English Toy Spaniel
Entlebucher
Eskimo Dog
Feist
Field Spaniel
Fila Brasileiro
Finnish Lapphund
Finnish Spitz
Flat-Coated Retriever
Fox Terrier
Foxhound
French Bulldog
Galgo Spanish Greyhound
German Pinscher
German Shepherd
German Shorthaired Pointer
German Spitz
German Wirehaired Pointer
Giant Schnauzer
Glen of Imaal Terrier
Golden Retriever
Gordon Setter
Great Dane
Great Pyrenees
Greater Swiss Mountain Dog
Greyhound
Harrier
Havanese
Hound
Hound/Affenpinscher
Hovawart
Husky
Husky/Mix
Ibizan Hound
Icelandic Sheepdog
Irish Setter
Irish Terrier
Irish Water Spaniel
Irish Wolfhound
Italian Greyhound
Italian Spinone
Jack Russell Terrier
Japanese Chin
Jindo
Kai Dog
Karelian Bear Dog
Keeshond
Kerry Blue Terrier
Klee Kai
Komondor
Kuvasz
Kyi Leo
Labrador Retriever
Lakeland Terrier
Lancashire Heeler
Leonberger
Lhasa Apso
Maltese
Manchester Terrier
Maremma Sheepdog
Mastiff
Mcnab
Miniature Pinscher
Mountain Cur
Mountain Dog
Neopolitan Mastiff
New Guinea Singing Dog
Newfoundland Dog
Norfolk Terrier
Norwegian Buhund
Norwegian Elkhund
Norwegian Lunderhund
Norwich Terrier
Nova Scotia Duck-Tolling Retriever
Old English Sheepdog
Old English Bulldogge
Otterhound
Papillon
Patterdale Terrier (Fell Terrier)
Pekingese
Peruvian Inca Orchid
Petit Basset Griffon Vendeen
Pharaoh Hound
Pit Bull Terrier
Plott Hound
Podengo Portugueso
Pointer
Polish Lowland Sheepdog
Pomeranian
Poodle
Portuguese Water Dog
Presa Canario
Pug
Puli
Pumi
Rat Terrier
Redbone Coonhound
Retriever
Retriever, Labrador/Mix
Rhodesian Ridgeback
Rottweiler
Saint Bernard
Saluki
Samoyed
Schipperke
Schnauzer
Scottish Deerhound
Scottish Terrier Scottie
Sealyham Terrier
Setter
Shar Pei
Sheep Dog
Shepherd
Shepherd, German/Mix
Shetland Sheepdog Sheltie
Shiba Inu
Shih Tzu
Siberian Husky
Silky Terrier
Skye Terrier
Sloughi
Smooth Fox Terrier
Spaniel
Spitz
Staffordshire Bull Terrier
Staffordshire Bull Terrier/Whippet
Standard Poodle
Sussex Spaniel
Spanish Vallhund
Terrier
Terrier (medium coat)
Terrier, American Staffordshire/Mix
Terrier, Boston/Mix
Terrier/Mix
Thai Ridgeback
Tibetan Mastiff
Tibetan Spaniel
Tibetan Terrier
Toy Fox Terrier
Treeing Walker Coonhound
Vizsla
Weimaraner
Welsh Corgi
Welsh Springer Spaniel
Welsh Terrier
West Highland White Terrier Westie
Wheaten Terrier
Whippet
Whippet/Mix
White German Shepherd
Wire Fox Terrier
Wirehaired Pointing Griffon
Wirehaired Terrier
Xoloitzcuintle (Mexican Hairless)
Yellow Labrador Retriever
Yorkshire Terrier Yorkie
Domestic Long Hair
Domestic Medium Hair
Domestic Short Hair
Abyssinian
Abyssinian/Balinese
American Bobtail
American Bobtail/American Wirehair
American Curl
American Curl/Abyssinian
American Curl/Balinese
American Shorthair/American Bobtail
American Shorthair/Burmese
American Wirehair
American Wirehair/American Curl
American Wirehair/American Shortnair
Applehead Siamese
Balinese
Bengal
Birman
Bobtail
Bombay
British Shorthair
Burmese
Burmilla
Calico
Chartreux
Chausie
Chinchilla
Cornish Rex
Cymric
Cymric/Devon Rex
Devon Rex
Dilute Calico
Dilute Tortoiseshell
Domestic Long Hair - Brown
Domestic Long Hair - Buff
Domestic Long Hair - Buff and White
Domestic Long Hair - Gray and White
Domestic Long Hair - Orange
Domestic Long Hair - Orange And White
Domestic Long Hair - Black
Domestic Long Hair - Black and White
Domestic Long Hair - Gray
Domestic Long Hair - White
Domestic Medium Hair - Black
Domestic Medium Hair - Black and White
Domestic Medium Hair - Brown
Domestic Medium Hair - Buff
Domestic Medium Hair - Buff and White
Domestic Medium Hair - Gray
Domestic Medium Hair - Gray and White
Domestic Medium Hair - Orange
Domestic Medium Hair - Orange and White
Domestic Medium Hair - White
Domestic Short Hair - Brown
Domestic Short Hair - Buff
Domestic Short Hair - Buff and White
Domestic Short Hair - Gray and White
Domestic Short Hair - Orange
Domestic Short Hair - Orange and White
Domestic Short Hair - Black
Domestic Short Hair - Black and White
Domestic Short Hair - Gray
Domestic Short Hair - Mitted
Domestic Short Hair - Orange
Domestic Short Hair - White
Domestic Short Hair/Burmese
Egyptian Mau
Exotic Longhair
Exotic Shorthair
Extra-Toes Cat (Hemingway Polydactyl)
Havana
Himalayan
Japanese Bobtail
Javanese
Korat
Laperm
Maine Coon
Manx
Munchkin
Nebelung
Norwegian Forest Cat
Ocicat
Oriental Long Hair
Oriental Short Hair
Oriental Tabby
Persian
Pixie-Bob
Ragamuffin
Ragdoll
Russian Blue
Scottish Fold
Selkirk Rex
Siamese
Siamese/Mix
Siamese/Snowshoe
Somali
Sphynx (Hairless Cat)
Tabby
Tabby - Black
Tabby - Brown
Tabby - Buff
Tabby - Grey
Tabby - Orange
Tabby - White
Tiger
Tonkinese
Tonkinese/Selkirk Rex
Torbie
Tortoiseshell
Turkish Angora
Turkish Van
Tuxedo
Pet 5 Outcome
Is this pet microchipped?
Please Select
Yes
No
Unknown
Final Information
Today, I am interested in...
*
Receiving food for my pet
Getting my pet vaccinated
Getting my pet microchipped
Scheduling an appointment to have my pet spayed/neutered at a low cost
In the future, my pets would benefit from... (check and someone will reach out to you about options)
*
Ongoing Food Support
Other Medical Support
Assistance for my outside pet, such as a dog house or help fixing my fence
Behavior / Training Help
Other
What type of medical support would your pet benefit from?
*
Where did you hear about today's event?
*
Please Select
Social Media
Shelter
Google
Friend/Family
Drive by
Other
Would you like to receive updates from the organizations participating in today's event?
*
Please Select
Yes, I would like to receive updates.
No, I would not like to receive updates.
Do you have additional pets at home that did not receive services at today's event?
*
Yes
No
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