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Dog Name

Dog  Breed

Dog Birthday

Rabies Cert. Expires On

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Veterinarian Name

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A girl and her dog
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Gender

Female

Male

Neutered/Spayed ?

Your Dog is Under 16 Weeks.  Rabies Certificate is Not Required.  To Override and Enter Rabies Certificate Info,  click Override Button
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Select Rabies Cert. File Type

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Has Dog bitten a person?

Yes

No

Does Dog fight other dogs?

Yes

No

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