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ADOPTION APPLICATION
Please you must be 21 years of age or older.
Dog of Interest
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Applicant's Name. Age & Occupation
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Name of Spouse/Roomate & Age
Name of Children & Ages
Address
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Street Address
City
State / Province / Region
Postal / Zip Code
Home Telephone
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Mobile Telephone
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Email
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Type of Residence
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Please select
House-Rent
House-Own
Condo-Rent
Condo-Own
Apt-Rent
Mobile Home-Rent
Mobile Home-Own
RESIDENCE
1) Number of gates & type of lock
2) Height/type of fencing
3) Swimming pool: Is it fenced?
4) Balcony: Is it enclosed?
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Landlord's Name & Telephone
Is there a pet deposit & weight limit?
List 3 Personal References (Name/Relationship/ Telephone)
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1) Have all the adults in the household agreed to adopting the pet?
2) Is anyone allergic to the dog?
3) Does anyone in your household smoke?
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1) Who is the primary caretaker of pet?
2) When & How often are you planning to exercise you pet?
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1) How many hours will your pet be alone?
2) Where will your pet stay when you are not home?
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1) Where will your pet sleep at night?
2) How do you plan to provide for your pet when you are out of town?
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1) What would you do with your pet if you moved or relocate out of state?
2) Under what conditions would you NOT keep your pet?
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DIET
1) What Brand of food would you feed your pet?
2) What kind of food will you feed your new pet?
Dry, Canned, Homemade, Raw, Freeze Dried
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OBEDIENCE TRAINING
1) Do you have experience with obediance training?
2) How would you discipline your pet if they misbehave?
3) What would you do if inappropiate behavior continues?
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1) Can you afford regular, serious or illness veterinary care?
2) Please list current Veterinarian/ Animal Hospital/ Clinic
3) address & phone number
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PET HISTORY
1) Name/ Breed
2) Gender: Sterilized
3) Vaccinated
4) Ages own/ still have
5) What happened to the pets you longer have?
PET HISTORY
1) Name/ Breed
2) Gender: Sterilized
3) Vaccinated
4) Ages own/ still have
5) What happened to the pets you no longer have?
1) Have you ever bred a dog?
2) Please tell us why you are interested in adopting a dog?
The adoption is for the lifetime of the dog.
1) Are you willing to send photos of your home and get a homecheck for the safety of the animal?
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