Dog Application

Section One

Name *

This is a required question

Address

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City: State: Zip:

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Length of time lived at this address?

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Home phone:

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Work phone:

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Occupation?

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Name of Employer?

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Email Address: *

Please enter your correct email address.

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Do you

own
rent

This is a required question

If rent, does your landlord allow you to have a dog?

This is a required question

If you have a condo or coop, do the bylaws permit pets?

This is a required question

Number of children living in household?

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Ages?

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Number of adults living in household?

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Do you own any other cats, dogs, reptiles or other domestic animals?

This is a required question

If yes, explain:

This is a required question

If you currently own a pet, do you know how it gets along with dogs?

This is a required question

Have you ever adopted an animal from our organization?

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Are you seeking a specific breed?

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If yes, what breed?

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Please describe the perfect dog for you. What characteristics are you looking for?

As you answer this, please think about your lifestyle - are you active, in and out a lot, are there lots of people/children around, etc., or are you more sedentary, quiet, with few visitors? What personality in a dog would best fit your family's needs and lifestyle? Would your dog go with you everywhere or stay at home most of the time?

This is a required question

25% completed

Section One

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