Dog Health Certificate Information
Please take the time to fill out as much information as possible.
Rescue Name *
Your answer
Dog Name *
Your answer
Birth Date
Please provide your best estimate if this is not known.
MM
/
DD
/
YYYY
Sex
Breed
If known - if not best guess
Your answer
Coloring
Please check the predominant color
Weight
Last weigh in.
Your answer
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