NAME________________________________________________________________________
PHONE/EMAIL________________________________________________________________
ADDRESS_____________________________________________________________________
PERSON(S) WITH ACCESS TO MY HOME(KEY) Be sure YOUR FRIEND does not travel with you!)
NAME_________________________________________________PH___________________
ADDRESS_____________________________________________________________________
NAME_________________________________________________PH___________________
ADDRESS_____________________________________________________________________
_______________________________________________________________________________
WHO TO CALL WHEN LEAVING PET(S) ALONE THAT CAN ACT IF I CANNOT RETURN_______________________________________ PH____________
ATTORNEY'S NAME/ PH#________________________________________
I OWN THE FOLLOWING PET(S), NAMES, TATTOO#, OR TAG# OR IDENTIFYING MARKS FOR EACH PET __________________________________________________________________
__________________________________________________________________
DAILY FEEDING SCHEDULE KEPT________________________________
MEDICATION/GROOMING SCHEDULE KEPT _____________________
_________________________________________________________________
VET NAME_______________________________PH______________________
IMMUNIZATION RECORDS KEPT:_________________________________
PROVIDED BY: SHIH TZU FANCIERS OF SOUTHERN CA