Name
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First Name
Last Name
Phone
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Email
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Which dog are you applying for?
Home owner?
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Rental?
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How long have you lived at this residence?
Home Type:
Landlord contact
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Currently employed?
Children?
How many? Ages.
Other than family, any roommates in the household?
Is everyone in your household in favor of adopting a dog?
Where will the dog live?
If outside, please describe below the shelter that will be available.
Fenced yard
What type of fencing and how high is the fence?
Do you have a swimming pool?
Is the pool fenced?
Will the pet be tethered or on a runner?
What is your household activity level?
How many hours a day will your dog be alone?
How do you plan to exercise this dog?
Please list any DOGS you currently own—include name, breed, age and if spayed or neutered.
Please list any other pets (cats, birds, livestock, etc.) that live inside or on your property.
Do you have a veterinarian? Please list the vet facility and contact information below.
Are you willing to do a formal home check with family members and other canines in the household?
Please share any additional info about yourself, family or present situation that would help us to know you so that we can make the right match for you. For example: Why do you want this dog? Are you looking for a comfort, companion, working/guard dog, etc.?
What characteristics are most important for you to have in a dog?
Why do you want this particular dog?
In your opinion, what makes you a great dog owner?
What would you do if a behavior problem developed?
How will you discipline/correct this animal?
Identify any experience you may have had with “training tools” (i.e., clickers, front clip harnesses, prong collars, choke chain, etc.)
Would you be willing to take this animal to obedience training?
When traveling away from home, who will care for this dog?
If, for some reason, you are not able to care for this dog in the future, what will you do with this pet?
Is this dog a gift?
Reference 1
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Reference 2
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Reference 3
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