Name
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First Name
Last Name
Email
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Phone
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(###)
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Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Please tell us why you are interested in adopting a dog and what your ideal dog would be like?
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Name of the dog you're interested in
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What is your primary reason for wanting a dog?
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Please list names and ages of everyone in your household:
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If you have children, please describe their previous experience with dogs. If you are expecting, please also note that here.
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Occupation and place of work:
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I work:
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Please select the option that best describes your home:
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I
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If you rent, do you have permission to adopt a dog from your landlord?
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Please provide landlord's telephone number.
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Are there any breed restrictions where you live?
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Please select the option that best describes your outdoor space:
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What type of fencing do you have? How high at its highest point and how low at its lowest point?
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Will your dog be:
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If indoor/outdoor, please estimate the percentage of time the dog will be indoors and outdoors.
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What is your preferred level of activity with the dog?
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When you are not home, where will your dog be? (Please be specific)
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How many hours will the dog be left alone?
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Do you have any pets now? If yes, please list type of animal, breed and age
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Are your pets spayed or neutered? (If no, please explain.)
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Have you ever had a dog before? If yes, for how long?
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Please describe your previous level of dog experience:
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If your dog gets out, which of the following will you do? (check all that apply)
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What would happen to your pets if you moved?
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What will you do if you can no longer keep your pet?
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Please describe your plan if something should happen to you and you could no longer care for your pets.
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When your pet is sick or injured, will you be able to pay for medical treatments?
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Do you already have a family veterinarian? If yes, please provide name and contact information. If no, would you like a recommendation?
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What methods do you plan to use for training?
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Will you require your dog to wear a collar and ID tag at all times?
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Under what circumstances would you give your dog up?
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Is there anything else you would like to tell us? (ie. why you are interested in this particular pup, why would you be an ideal home for him/her)
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