If you are not 21 or older, what is your age? (respond N/A if 21 or over) *
Your answer
How many children under the age of 18 are in your home? *
Your answer
Do you rent or own your home? *
If you rent are you allowed to have pets? *
Landlord Name, Address and Phone Number (respond N/A if you own your home) *
Your answer
Animal Information
Do you have other pets in or around the home? *
If yes, what are they? (type and quantity) *
Your answer
How are these pets with other animals? *
Your answer
Where will the dog be kept? *
Your answer
How will the dog be contained while outside at your residence? *
Your answer
If a pet becomes ill or injured, what would you do? *
Your answer
Veterinary Information
Who is your veterinarian when your animals need veterinary care? (name, address and phone number) *
Your answer
Please provide us with the name and contact information of 3 references (no relatives please). *
Your answer
Other Information
What Saving Webster Dogs/Foxfire Farm Kennel dog are you interested in? Please provide the name or description of the specific dog, otherwise provide a description of the type of dog you are looking for.
Your answer
Is there anything else you would like Saving Webster Dogs/Foxfire Farm Kennel to know?