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This comprehensive registration form is designed to give us the most accurate and up-to-date information about your pet. It is important for both you and your dog that Cara Mia is informed so we can provide the very best care and to make sure your pet has an enjoyable experience with us. Fields marked with an * are required and the form cannot be completed without a response.


Complete the form and print it and then deliver by hand, fax or mail to:

6429 Transit Rd.
East Amherst, NY 14052
Fax: (716) 741-4538


(The print button is located at the bottom of the page)

Owner Name *
Pet's Name * Breed *
 
Birthday *
   
Age * Colour *
 
Gender *Male Female
Spayed / Neutered *Yes No
Ownership *
How long have you owned and how did you acquire your pet?
Vaccinations *
Please check the field for confirmation.
Confirm vaccinations for Rabies and FVRCP (Documents must be provided prior to being your pet being admitted)
What kind of litter do you use at home? *
Does your cat go outside? *
Yes No
Flea & Tick Treatment *
What brand of flea and tick control do you use? When was last application?
Micro Chip *Yes No
Location of Microchip
If yes, please provide details.
Is your cat declawed?Yes No
Tattoo *Yes No
Location of Tattoo
If yes, please provide details
Meals *Yes No
Will meals be required.
If yes, please realize you will be responsible to provide meals each day for your pet and inform us of the quantities to be served at each meal.
Brand of Food
What brand of cat food do you feed your pet?
How Often Fed * Treats *
 
What is the feeding schedule? Are treats allowed?
Does your cat require a special diet? *
Yes No
Special Diet
Describe any special diet your pet requires.
Health *Yes No
Does your cat have health issues.
Medical Issues / Health Concerns
If yes, describe any health concerns, medical conditions, allergies or previous surgeries. Also detail any restrictions to physical activities.
Medications
List any medications and reasons for use.
If medication is required while at Cara Mia, bring it with the original prescription bottle and instructions for staff to administer properly.
BEHAVIOUR
General Temperament *
What is the over all temperament of your pet?
Energy Level *
1 2 3 4 5
Please indicate which energy level best describes your pet. (1 = Couch Potato, 5 = Never Stops Moving)
Describe your pet. (check all that apply) *
Mellow Shy Energetic Pushy Friendly Timid Confident Obsessive Fearful Active Obedient Submissive Couch Potato Excitable Dominant Playful Laid Back Agressive Destructive
Describe Additional Behaviours
Is there anything else we should know about your pets characteristics?
Behaviour issues
Please tells us if there is any part of the body that your pet does not like touched our handled. Also tells us about anything that causes your pet to become scared, agitated, anxious or fearful.
How does your pet respond to the following:
Being Held or Petted *
Nail Trimming *
Favorite Activites
Cuddling Belly Rubs Brushing Massage Solo Play TV Cat Toys Feather Duster
Check any that apply.
Other Activities
Describe any other activities your pet enjoys or any other additional information you think we should know to care of your pet.
Signature * Date *
Please print this form and mail or bring it to the address indicated.
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