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Adoption Application
Please fill out the following to apply to adopt a dog from Ace Of Hearts Rescue INC
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Email
*
Your email
Name
Your answer
Address
Your answer
CIty
Your answer
Zip
Your answer
Phone Number
Your answer
E-Mail
Your answer
Age
Your answer
Drivers License Number
Your answer
Which Dog do you want to adopt?
Your answer
Are you employed
Yes
No
Clear selection
Occupation and hours worked
Your answer
How many hours will the pet be left alone?
Your answer
Will this be your first dog?
Yes
No
Clear selection
Do you have any pets currently? If so list
Your answer
Are they spayed/neutered?
Your answer
If you have pets, are they reactive/territorial?
Your answer
Why do you want this dog?
Your answer
How many adults are in our house hold?
Your answer
How many children?
Your answer
Is any one allergic to dogs in your house?
Yes
No
Other:
Clear selection
What type of house are you in?
House
Apartment
Condo
Mobile Home
Other:
Clear selection
How many stories is your house?
Your answer
Do you own or rent?
Own
Rent
Clear selection
Do you have a fenced in Yard?
Yes
No
Clear selection
What kind of fence?
Your answer
Are there times where the dog will be tied up? explain
Yes
No
Other:
Clear selection
Will the dog be in a garage?
Your answer
Do you have a pool?
Option 1
Clear selection
If you go out of town, who will watch the dog?
Your answer
How much are you willing to pay for vet bills?
up to $100
up to $500
up to $1k
up to $5k
whatever it takes
Clear selection
What provisions will you make for the dog should you become unable to care for him/her?
Your answer
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