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Sponsor a Dog!
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Personal Information
Name
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Mailing Address
*
Your answer
Dog's Information
Is this dog a pit bull or pit bull mix?
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Yes
No
Uncertain
Sex
*
Female
Male
This dog is....
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At a shelter
At a clinic/boarding facility
A stray
An owner surrender
Other:
City & State where the dog is located?
*
Your answer
To your knowledge, does the dog present any of the following medical concerns:
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Mange
Heartworms
Pregnant
Nursing
Broken Limbs
Parvovirus
Not Applicable
Other:
Required
To your knowledge the dog is:
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Kennel trained
Potty trained
Dog social
Dog reactive/aggressive
Cat social
Cat reactive/aggressive
Good with children
Fearful, aggressive, or reactive to humans
Required
If we are able to pull this dog into our program, are you able to foster him/her?
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Yes
No
Possibly
Sponsorship Information
Do you have a financial limit for this sponsorship?
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Yes
No
If you answered "yes" to the previous question, please provide an honest estimation of how much you are willing and able to donate:
Your answer
By signing this sponsorship application, you understand we at Long Way Home have full discretion in approving or denying this application and that while we try to make an honest effort at answering all requests and saving as many dogs as we can, we are sometimes unable to provide the physical presence asked of us. If you are granted this sponsorship, please understand that we will meet with both the dog to determine his/her temperament and personality and you to sign official paperwork *prior* to us welcoming said dog into our program. For further questions or information, please email
stephanie@mylongwayhome.org
- thank you!
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Your answer
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