Farm Animal Information Form

Please review the POLICIES & PROCEDURES document.

(*) Required Fields

Farm Animal Information Form

Please fill out a form for each (fowl may be grouped together, exception: roosters, drakes or ganders)












Animal's Information


Animal Type: HorseLlamaSheepGoatChicken/Goose/DuckPigOther

Sex: MF



Spayed or Neutered: YesNo

Microchip: YesNo


General Health:

Temperment:

Immunizations:

Rabies exp. Date:

Primary Veterinarian:

Vet. Phone:

Does your animal have any illnesses or disabilities we should know about?


CARE & FEEDING INSTRUCTIONS









Food Allergies? YesNo

Does your animal get treats? YesNo


MEDICATIONS

If your pet takes medications / supplements, please list them below



















GENERAL INFORMATION

Has your animal ever bitten/kicked/charged anyone? YesNo

Is your animal food motivated? YesNo

Is your animal food aggressive? YesNo

Is your animal hyperactive? YesNo

Can your animal be touched? YesNo

Is your animal generally aggressive? YesNo

Does your animal like children? YesNo

Does your animal like men? YesNo

Does your animal like women? YesNo

Is your animal used for guarding? YesNo

Does your animal like to be groomed? YesNo

Does your animal mind being sprayed? YesNo

Does your animal like other animals? YesNo

Does your animal have access to all of your property? YesNo

Do stalls need to be cleaned ? YesNo

If so, where are your animals kept in the meantime?

Do goats need to be milked? YesNo

Eggs collected? YesNo


WHERE CAN WE FIND

Lead Ropes:

Halters:

Medical Supplies/Meds:

Fly Spray:

Food/Treats:

Brushes:

Pitchforks/Shovels:

Wheel Barrow:


Anything else we should know: (such as how does your animal react when you are not home, additional health and behavioral advisories or specific instructions)