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Adoption & Foster Interest Application
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Name:
Your answer
Address:
Your answer
E-Mail:
Your answer
Phone Number:
Your answer
Date of Birth:
MM
/
DD
/
YYYY
Your Employer and Occupation:
Your answer
Do you own or rent?
Own
Rent
Clear selection
If you rent what is your landlords name & phone numbers?
Your answer
Name of veterinarian & phone number?
Your answer
Which pet would you like to meet?
Your answer
Have you ever re-homed a dog?
Yes
No
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Have you ever surrendered a dog to a shelter?
Yes
No
Clear selection
If you move, what plans do you have for your pets?
Your answer
List the names and ages of each person living in your home.
Your answer
Is anyone in your home allergic to pets?
Yes
No
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What type of personality are you hoping for in a dog?
Your answer
I prefer a:
Young Dog
Adult Dog
Senior
No Preference
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I prefer a dog with:
Low Activity Level
Medium Activity Level
High Activity Level
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Tell us about the animals you have now!
Your answer
How much time will your dog spend outside?
Your answer
Dogs need to get along with:
Men
Women
Children
Cats
Dogs
Other
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Do you have any other concerns about adopting a dog?
Your answer
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