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Adoption Application
The Liberty Dog Network, Inc.
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Email
*
Your email
Name
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Your answer
Date
MM
/
DD
/
YYYY
Which dog are you interested in adopting?
Your answer
Why do you want to adopt this dog?
Your answer
Street Address/City/State/Zip Code
*
Your answer
Home/Cell Phone
*
Your answer
Do you own or rent? If you own, please specifiy # of years. If rent, please email your landlord's approval.
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Your answer
Number of adults in household and ages
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Your answer
Number and ages of children
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Your answer
What type of food do you typically feed your pet?
Your answer
Have you had a dog before? Please describe
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Your answer
Have you had a dog that has needed behavior training before? Please describe situation and type of training.
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Your answer
Do you have any unsterilized dogs or cats at home? Why?
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Your answer
What would you do if this dog needed training?
Your answer
What methods do you use for training
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Your answer
Briefly describe how you treat medical issues with your pet.
Your answer
Do you have a fenced yard? If so, how tall is the fence and how big is the yard?
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Your answer
Do you have a pool? Is it fenced?
Your answer
Have you ever had to potty train a dog?
Your answer
How many hours per day will the dog be left alone?
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Your answer
Where will the dog be kept when alone?
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Your answer
Where will the dog sleep at night?
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Your answer
Please list all other animals in the home, their breed, weight, sex, age, and temperament. (example: dog, 58 lbs, lab mix, female, 8 years old, doesn't like to do much and is possessive with toys).
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Your answer
If you have cats, have your cats ever been exposed to or lived with dogs?
Your answer
Do you agree to let The Liberty Dog Network to check in at any time and will you provide updates via video?
yes
no
Do you plan on going on vacation in the next 12 months?
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Your answer
Who cares for the dog when you are away?
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Your answer
Are you willing to have The Liberty Dog Network do a home-check where the dog will be living?
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Your answer
Have you ever returned a dog to a shelter or rescue?
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Your answer
Please explain why
Your answer
Do you rent or own your home? How long have you lived there?
Your answer
Describe a typical day for your household.
Your answer
I agree to never abuse, neglect, or mistreat the animal in any way. I also agree to only use positive reinforcement approaches for training and will never utilize punishment procedures (prong collar, e-collar) etc.) to modify the dog's behavior.
*
Agree
Disagree
I agree that the above information is true and correct.
*
Agree
Disagree
Send me a copy of my responses.
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