First Name Last Name Address City State Country Post Code Phone Your primary contact number Email Mailing List do you want to receive our newsletter and occasional announcements? Status Shelter Adopted Fostered Deceased Status is location of animal Animal Name Breed Date of Birth Weight (kilos) Expressed to nearest tenth of a kilo such as 9.8 Height (cm) Length Expressed in cms nose to tail. Date Entered Shelter Photo Upload a photo of animal. 300 pixels maximum width or height. Movie URL Please add your video to YouTube, Vimeo etc and then supply the link URL address here. Vaccinations Flea and Tick date Leishmania Blood Test Y N Leishmania Date Tested Leishmania Result Babesia Blood Test Y N Babesia Test Date Babesia Result Blood Test Results Blood Tests Images Medical History Good With Cats Y N Unsure Good With Children Y N Unsure Microchip Number Microchip Date Passport Number