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FOR CITY OF ALEXANDRIA RESIDENTS ONLY
Please fill in the information below regarding your pet.
This information is used ONLY for the purpose of
contacting you if your pet is identified at the shelter.

 
Owner's Name:
Phone Number:
Address (within City of Alexandria Limits):
Pet's Name:
Type of Animal:
Gender:
Color:
Age:
Current Vacccinations:

Name & Address of Veterinarian with Vaccination Records:

 
Tag Number:
Additional information, such as identifiable marks, medical conditions, etc.: