All Breed Rescue Alliance of South Central Indiana, Inc.
Information Form
Name of Dog____________________________ ______________________________
Registered Call Name
Registration Number_____________________________
Name of Owner_______________________________________
Address_______________________________________________________________
City__________________________ State_______________ Zip_______________
Telephone________________________
Reason for giving up dog for Adoption________________________________________
_________________________________________________________________________
GENERAL INFORMATION
the car _____ Strangers _____ Water _____
Other _________________________________________________________________
Housedog _____ Kenneled _____ Doghouse _____ Loose in yard _____
Yard at all times _____ Yard part-time _____
Other _________________________________________________________________
Finicky eater _____ Used to collar and leash _____ Walks nicely on leash _____ Digs _____
Escape artist _____ Gets out to follow children _____ Jumps on people _____
Jumps fences _____ Chews _____ Destructive _____ Gulps food _____
Tricks/Others____________________________________________________________
Cautious _____ Anxious to please _____ Happy-go-lucky _____ Shy _____
Protective _____ Timid _____ Very trainable/Obedient _____ Hyper _____
Untrainable _____ Calm _____ Adaptable _____ Reserved _____ Stubborn _____
Lethargic _____ Inflexible _____
Additions to dog’s general temperament ____________________________________________
Who/What/Circumstances _______________________________________________________
Other _______________________________________________________________________