Lake Highlands Crime Watch Area 1076

PET REGISTRY FORM

PET REGISTRY FORM

Crime Watch 1076
Pet Registration

Pet’s Name __________ Cat/Dog ______ Breed
Owners name: ______________________________________________
Address: ______________________________________________
Email address: ______________________________________________
Phone numbers: (H) (W) (Other) ___________

Alternate Contact person: _________________Phone number: _________

Detailed Description of Pet

Cat/Dog ______ Breed __________ M/F ____ Size/weight
Color/markings Other details __________________
Wearing collar/tags? Description of Collar/tags _____________
Shots current? Temperament ______________________
Is pet approachable by strangers? ______ If not, why not _____________
__________________________________________________________
Health Medications

Vet: __________________________________________________
Address: __________________________________________________
Phone number _______________________________________________

If your pet is injured and needs to be taken to the Vet, are you will to accept responsibility for veterinary charges? ___________________

If a pet is found, will you be willing to be a pet foster home until they are reunited with their family? _____________________
Signature ___________________________ Date _____________

Return this form to LH1076 -- P O Box 38002 -- Dallas TX 75238-0002