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You:
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Mr.
Mrs.
Ms
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Last name
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First name
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City
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Company
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Telephone number:
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Fax:
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E-mail
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Your pet:
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Name:
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Breed:
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Date of birth:
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Character, behavior:
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Are vaccines up to date?
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Reg./tattoo number:
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Daily habits:
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How does your pet get along with animals of its own species?
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Your pet's diet
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Mealtimes
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Does your pet get along with children?
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Any health problems?
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Medical treatments?
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If yes, instructions for treatment:
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- Dates for home stay -
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Arrival
January
February
March
April
May
June
July
August
September
October
December:
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Departure :
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Will you be dropping off your pet with the host family?
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yes
no
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Would you like us to take your pet there?
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yes
no
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- Any additional remarks are welcome:
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Send
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