WANT TO JOIN THE FUN?

Dog Parent Information

First Name

Last Name

Email

Phone

Dog Information

Dog's Name

What is your dog's breed and approximate weight?

Where did you get your dog?

• Breeder
• Rescue or Shelter
• Pet Store
• Other

What is your favorite personality trait of your dog?

How would you describe your dog's temperament? (High energy, shy, easy-going)

Does your dog know any special tricks or do anything crazy, silly, fun or sweet?

Does your dog have any medical conditions, injuries, habits or fears that I should be aware of?

List three fun facts about your dog. (favorite snack, past-time, celebrity comparison) Almost like a dating profile, loves long walks on the beach, a cozy blanket and protecting the yard from invading squirrels! 😉

How interested are you in having photographic artwork of your dog in your home?

Select Select Yes, absolutely! Possibly, I'd like to hear more details. I'm just interested in supporting Midwest Animal ResQ.

What days work best for a quick phone call to share details?

• Tuesday
• Wednesday
• Thursday
• Friday

What times work best for a quick phone call to share details?

• 10am - 12pm
• 12pm - 2pm
• 2pm - 4pm
• After 5pm

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