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Adoption Application


   
First Name:
Last Name:
Address:
City
State
Zip Code
Home Phone
Cell Phone
E-mail
E-mail
Current Employer and Position
Animal Applying for:
Describe the qualities you are looking for in a dog:
In what type of home do you live?
Do you rent or own your home?
Number of adults in Household:
Number of children and their ages:
Do any members of your household have any health concerns?
If you rent, please enter your landlord's name and phone number:

Please list current pets:

What dog/ dog experiences have you had in the past?
Do you give us permission to contact your Veterinarian about your recently owned pet(s)?
Your Veterinarian's name, address and phone number:
Why would you like to adopt this animal?
Where will this pet be primarily kept?
Do you have a fenced in yard (not required), if no please explain?
When you are NOT home where will you keep this pet?
Are you willing to crate a dog?
How will you exercise your dog?
How many hours a day will your dog be alone ( no one home)?
Are you willing to travel to meet the dog, and then return at a later date for adoption?
Are you prepared to practice and continue training with your dog?

This dog may have some behaviors that need monitoring or work, are you willing to work with our trainer to accomplish this?

How did you hear about us?
Do you have any comments for us?
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