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| Which pet are you applying for? * |
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| Why do you want this particular dog? * |
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| Name of the applicant. * |
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| Name of the applicants spouse/partner. |
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| Address * |
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| City/State/Zip * |
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| What is your email address? * |
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| Driver License Number/State |
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| Day Phone. * |
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| Evening Phone. * |
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| What is the best time to call? * |
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| What type home do you live in? * |
house apartment or duplex mobile home other |
| If Other, Please explain. |
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| If you rent please provide your
landlord's name and contact information so we can check to see if you
have permission to have a pet. |
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| Landlord's phone number. |
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| Do you live with your parents? * |
Yes No |
| If yes, are they in agreement in adopting a pet? |
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| How many people live in your household and what are their ages?
* |
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| Who are you adopting the pet for? * |
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| Who will be financially responsible for this pet? * |
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| Does EVERYONE in this household want this pet? * |
Yes No |
| Does anyone in your household have pet allergies? * |
Yes No |
| Please list pets that you currently own or have owned in the
last three years. If they are deceased or you no longer own them, please
explain in the comments section: |
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| Pet 1 Name |
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| Male/Female |
Male Female |
| Breed |
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| Age |
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| Spayed/Nuetered |
Yes
No |
| Indoors/Outdoors/Both |
Indoors Outdoors Both |
| Comments about Pet 1: |
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| Pet 2 Name |
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| Male/Female |
Male Female |
| Breed |
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| Age |
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| Spayed/Neutered |
Yes No |
| Indoors/Outdoors/Both |
Indoors Outdoors Both |
| Comments about Pet 2: |
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| Pet 3 Name |
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| Male/Female |
Male Female |
| Breed |
|
| Age |
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| Spayed/Neutered |
Yes No |
| Indoors/Outdoors/Both |
Indoors Outdoors Both |
| Comments about Pet 3: |
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| Pet 4 Name |
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| Male/Female |
Male Female |
| Breed |
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| Age |
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| Spayed/Neutered |
Yes No |
| Indoors/Outdoors/Both |
Indoors Outdoors Both |
| Comments about Pet 4: |
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| Your Veterinarian’s Name: * |
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| Your Veterinarian’s Phone Number: * |
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| Are you aware of the typical costs of shots and routine
veterinary care? * |
Yes No |
| Have you ever adopted a pet from a shelter before and if so,
where? * |
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| Have you had a pet die on your premises in the last 3 months of
Distemper, Parvo, or Unknown causes? * |
Yes No |
| Why do you want to adopt a pet? * |
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| Will this pet live indoors or outdoors? * |
Indoors Outdoors Both |
| If this pet is a puppy, what prior experience you have with
raising a puppy? Do you understand the responsibilities a puppy will take?
Are you aware that puppies can be destructive at certain ages? * |
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| If this pet is not house trained, do you have experience with
house training? What methods do you use to accomplish this? * |
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| Where will this pet stay at night? * |
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| How long will it be alone during the day and where will it stay
during that time? * |
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| Who will care for this pet while you are on vacation? * |
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| If you move, will you take this pet with you? * |
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| What will you do if the pet has a behavioral problem? * |
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| At what point would you ever consider returning the pet to
PFONG? * |
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| List medical care you would provide and how often you would
provide it: * |
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| Do you have a fenced in yard? * |
Yes No |
| If yes, what type of fence is it and what is the height? |
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| Do you have a pool? * |
Yes No |
| If Yes to a pool, is it enclosed in a separate
fence? |
Yes No |
| If no fence, how will you potty the dog? |
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| Will you agree to a home visit from a PFONG representative?
* |
Yes
No
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| I have read the above information carefully and have filled out this
application honestly. I understand that omisison of information and/or failure
to answer all questions can result in the application being declined. Also, if
an omission or untruth is discovered after and adoption takes place, I understand
and accept that Pet Friends of North Georgia has the right to annul the adoption and reclaim the
dog. This application becomes a part of our Adoption Contract.
* |
Agree
Disagree
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| Please put any other comments you have here. |
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