Name
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Telephone
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Alternate telephone
Address
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City
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State
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Zip
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Email
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Alternate email
Name of dog
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If not, how did you acquire the Airedale?
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Weight
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Reason for giving up Airedale. Please be specific.
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Dog currently lives with:
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Airedale Interactions (check all that apply to your Airedale)
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Sweet dog, loves to cuddle
Timid or shy, fearful of some people
Fearful of men
Fearful of women
Afraid of thunderstorms
Afraid of loud noises
Children: Loves all children any age
Children: Never been around children; only seen from distance
Children: Does best with older children 10 yrs to teenagers
Children: Not good, afraid of kids
Cats: Never been around cats
Cats: loves cats
Cats: Hates cats - wants to chase or eat them
Cats: OK with cats (will tolerate and live peacefully with a cat)
Dogs: Loves dogs
Dogs: Hates dogs
Dogs: Good with small dogs
Dogs: NOT good with small dogs
Dogs: Good with other dogs (can live peacefully with other dogs)
Mouthy (uses mouth on hands or arms or person, but does not bite)
Resource guarding (controls access to food, objects, people and locations that are important to him/her)
Dominant to other household animal(s)
Bites or has a bite history (explain below)
Aggressive to other dogs (hostile, injurious, or destructive behavior toward another dog)
Aggressive to people/kids (hostile, injurious, or destructive behavior toward an individual)
Any other medical condition or treatment
Explain the dog being an escape artist (escapes from fenced area, sneaks out doors):
Dog's best qualities are:
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Dog's worst qualities are:
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Has Airedale received any obedience training? If yes, please describe.
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If you used a trainer, please supply name, address and telephone number
Has dog ever bitten a person or dog? If yes, please describe when and the circumstances
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Veterinarian's Name, Address and Telephone number. List whose name the records are under.
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Airedale was vaccinated and/or tested for
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Food
Other allergies
If dog receives supplements, describe what and how often
What kind of injuries has your dog had? Describe here
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What kind of medical issues has your dog had? Describe here
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What type of ongoing medication does your dog take, for what ailment? Describe here
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"Digital Signature": By submitting this form, I certify that the information provided on this form is true and accurate.
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If you are human, leave this field blank.