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Every Buddy Rescue Adoption Application
Please answer every question completely. It is very important to me that I have this information.
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Email
*
Your email
Name (Last, First)
*
Your answer
Street number, city, state and zip where the puppy will live
*
Your answer
List full names of all other people who live in the home where the puppy will live
*
Your answer
If you are renting, please provide the name of your landlord.
Your answer
Phone number where you may be reached
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Your answer
Please provide the phone number for vet or name of vet you plan to use. If you need a recommendation, please comment "need recommendation."
*
Your answer
Occupation and place of work
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Your answer
Are there children in the home?
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Yes
No
If children, please list ages
Your answer
Which dog/puppy are you applying to adopt
*
Your answer
Do you have other pets in your home? If so, please give breed, age and describe temperament.
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Your answer
Have you owned a dog for the duration of its life? Explain
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Your answer
Do you have a fenced yard?
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Yes
No
Do you agree to keep the dog in the house and not isolated from people?
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Yes
No
Does anyone in the home have allergies?
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Yes
No
If you work outside the home, please explain how the dog will be kept during working hours.
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Your answer
Where will the dog sleep?
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Your answer
Why is this a good time for you to acquire a puppy?
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Your answer
Why do you want this particular dog?
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Your answer
Do you agree to have the dog spayed or neutered at the recommended time your vet suggests? (unless already spayed or neutered).
*
Your answer
Are you aware of the cost of caring for a dog?
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Yes
No
Are you willing to commit to keeping the dog for the remainder of his/her lifetime and not transferring the ownership of the dog to a third party.
*
Yes
No
Do you agree to return the dog to the rescue in the event you are unable to keep the dog? (no refunds are granted)
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Your answer
Will this dog be used as an ESA?
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Yes
No
Which of the following apply to you?
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Senior on fixed income (verification required)
Veteran
Member of SPCA
Rescue or foster dog experience (verification required)
Teacher/educator
None of these
Required
Are you interested in some sessions a trainer?
*
Yes
No
Not sure
Required
Signature and Date
*
Your answer
A copy of your responses will be emailed to the address you provided.
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