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Just complete this form. Click on Submit when ready to send * NOTE: Do not hit the Enter key. You can use the Tab key to move between questions. If you hit the Enter key it will send the application before you have filled it out completely. When you have completely filled out the form, click on Submit at the bottom of page to send. Thank you.
Your name: Spouse: Address: City: State: Zip: Phone: Email address: Name of pet you are applying for: Why do you want a pet? What are your preferences as to breed, sex, age, hair length, etc.? What led you to the decision of this particular breed/dog? How long have you been looking for a new dog? Where else have you looked besides Petfinder? Is this your first experience with a pet? Yes No List pets you currently have in your household: Name Type Altered? Kept Where? Age YN YN YN YN List pets owned in the last five years not listed above: Name Type Altered? Kept where Age What happened to pet? YN YN YN YN Who is your Veterinarian? Phone: Who is your groomer? Phone: Who is your Kennel/Pet sitter? Phone: Do you currently live in a ? House Condo Apartment Mobile home Duplex Do you? Own Rent If you rent, does your lease allow pets? - Yes No If yes, what is the name of you landlord? Phone: How long have you lived at you present address? Do you have a pool? Yes No How many people live in your household? Do all the adults know you plan to adopt a pet? Yes No Number of children and their ages? Does anyone have any pet allergies? Yes No If yes, what type? Who will be responsible for care of the pet? Where will it be kept during the day? Where will it be kept at night? How many hours will the pet be left alone? Do you plan on spay/neutering? Yes No Do you have a fenced yard? Yes No Type of fence? - Wood Cyclone Farm fence Invisible How high? Do you realize you will probably have to house train your new dog/puppy? Yes No Are you familiar with leash/licensing laws in your area? Yes No What would you do if your dog: Chews on an item? Has a potty accident in the house? Are you familiar with crating? Yes No If yes, what are your feelings about crates? Do you plan on attending obedience classes? Yes No Are you familiar with heartworm disease? Yes No How will your dog be confined to your property? (check all that apply) House Kennel Fenced yard Chain Garage Patio Leash Above ground trolly How will your pet be cared for while on vacation? Do you plan on adding another dog to your household after this adoption? Yes No Please explain: How did you hear about us? Web search Petfinder search Flyer Newspaper ad Word of mouth Other Please list three personal references: Name Phone Relationship Employer's name: Phone: City: Normal amount of hours worked (per day): When you are done filling out the form, click Submit once. Thank You