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1 Attach photographs of pet. If possible, include photos with caregiver. Last updated: Name: Species: Breed: Registered Name: Registration #: License #: Other Identification/Registration (include microchip, tattoo, leg band, etc.): Color and Markings: Physical Characteristics (such as docked tail/ears, limp in left leg, etc.): Behavioral Characteristics (such as afraid of loud noises, says certain phrases, is fear biter, etc.): Medical Information (include vaccination information, long term medications, etc.): CONTACT INFORMATION Name: Address Phone Numbers:

2 REPTILES/AMPHIBIANS Hand crank can opener for canned food Ice chest for frozen food Evacuation cage for live food Spoon to scoop or mix food Two week supply of bottled water (including enough to clean bowls) store in cool, dark place Dechlorinator drops Extra water bowl (if necessary, large enough for herptile to climb into) Disinfecting cleaner for cleaning cage First aid book for reptiles/amphibians Current identification on each herptile Microchip (for larger reptiles) Pictures of herptile, including pictures with caregivers Written description of herptile, including distinguishing marks, microchip information, and behavioral and medical information Evacuation cage Substrate Heat source Cage and/or water thermometer Full spectrum light Cage accessories (such as hiding box) Heavy duty extension cord

3 RABBITS Two week supply of hay Airtight, waterproof container for hay seal shut only during transportation Two week supply of bottled water (including enough to clean bowls) store in cool, dark place Extra water bowl or water bottle Litterbox (appropriate size for cage) Two week supply of carefresh litter Scoop for litter Disinfecting cleaner for cleaning cage and litterbox Evacuation Carrier for each rabbit or pair of rabbits EvacSak for each rabbit or pair of rabbits Housing Collapsible wire crate (w/room for small litterbox) Large plastic airline crate (w/room for small litterbox) Exercise pen Towel to cover enclosure or cage Frozen liter or two liter bottles of water during hot weather to help prevent heat stroke First aid book for rabbits Simethicone Powdered Pedialyte Critical Care or vegetable baby food Oral syringes Current identification on each rabbit Microchip Tattoo Pictures of rabbit, including pictures with caregivers Written description of rabbit, including distinguishing marks, microchip or tattoo information, and behavioral and medical information HAY BABY /CRITICAL CARE

4 HORSES HAY One week supply of horse s normal food Airtight, waterproof container for food Extra food bucket One week supply of hay Airtight, waterproof container for hay seal shut only during transportation One week supply of water 50 gallon barrels can be used Extra water bucket One week supply of shavings to spread in stall Extra pitch fork Extra wheelbarrow or muck bucke Horse trailer (maintain with periodic safety checks) Truck that can safely pull trailer Shipping boots or wraps Rope to tie out horse (must be trained to tether) Halter Lead rope (cotton) First aid book for horses Duct tape Easy boot Furazone Blue Lotion Current identification on each horse Microchip Tattoo Freeze brand Temporary ID tag to braid into mane and/or livestock crayon to write ID information on horse Pictures of horse, including pictures with caregivers Written description of horse, including distinguishing marks, microchip, tattoo or brand information, and behavioral information Medical records, including vaccinations and current Coggins certificate

5 DOGS Hand crank can opener for canned food (preferably individual serving size cans) Spoon to scoop or mix foo Two week supply of bottled water (including enough to clean bowls) store in cool, dark place Extra water bowl Pooper-scooper Disinfecting cleaner for cleaning crate, if applicable Leash for every dog Harness for every dog (in addition to collar) Housing Stake-out chain for every dog Plastic airline crate or collapsible wire crate First aid book for dogs Properly fitting muzzle Current identification on each dog Collar and ID tag Microchip Tattoo Extra collar and ID tag that you can write on Pictures of dog, including pictures with caregivers Written description of dog, including distinguishing marks, ID (microchip or tattoo) information, and behavioral and medical information

6 CATS Hand crank can opener for canned food (preferably individual serving size cans) Spoon to scoop or mix food Two week supply of bottled water (including enough to clean bowls) store in cool, dark place Extra water bowl Litterbox (appropriate size for cage) Two week supply of litter Scoop for litter Disinfecting cleaner for cleaning cage and litterbox First aid book for cats Current identification on each cat Breakaway collar and ID tag Microchip Tattoo Extra collar and ID tag that you can write on Pictures of cat, including pictures with caregivers Written description of cat, including distinguishing marks, ID (microchip or tattoo) information, and behavioral and medical information Evacuation Carrier for each cat EvacSak for each cat Housing Collapsible wire crate (w/room for small litterbox) Large plastic airline crate (w/room for small litterbox) Leash Harness (in addition to breakaway collar)

7 BIRDS Gravel (only if necessary for your bird) Extra bowl Two week supply of bottled water (include enough to clean water containers) - store in cool, dark place Extra water container Dish soap for cleaning food bowls and water containers Two week supply of cage liner (newspaper, etc.) Disinfecting cleaner for cleaning cage Small evacuation cage that bird cannot chew out of Net Towel Extra cuttlebone and/or beak conditioner Flash light for regulating light hours Pliers for any cage repairs Extra batteries First aid book for birds Flour or cornstarch (not hemostatic powder) Vetwrap (not gauze or adhesive tape) Current identification on each bird Microchip Leg band Pictures of bird, including pictures with caregivers Written description of bird, including distinguishing marks, unusual feathers, microchip or leg band information, behavioral information including any phrases the bird may say, and medical information

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