Preliminary Application for Adoption
To e-mail please copy this application and paste into Word and fill out - then save and attach to e-mail.
To send via standard mail please print page and fill out.
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Name: |
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Address: |
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City: |
Zip Code: |
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Phone Number: |
Alternate Number: |
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What date would you like to attend? _________________________________________________
Number/Relation of People Residing in the home: ________________________________________
Age of Children Residing in the home: ______________________________________________
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Please tell us a little about yourself:
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Animals currently living in the home:
(Include breed, sex, age and if they are spayed/neutered) Use back of page if you need more room
Please list all of the dogs or cats that you have owned in the last 7 years and what happened to them:
Do you own your home or do you rent? _________________________________________________
What type of home? (condo, single family, apartment, etc.) ____________________________________
What breed are you interested in? _____________________________________________________
Why are you interested in this particular breed? ____________________________________________
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What are you looking for in a dog?
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Are you familiar with any of the common health concerns with this breed? Please describe:
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How long have you been looking for a dog?
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Please describe your ideal dog:
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For you what are the most important characteristics for the new dog to possess? (be specific)
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If something happened and you could no longer keep the animal what would likely happen to the dog?
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