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Adoption Application
The Liberty Dog Network, Inc.
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Email
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Your email
Name
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Your answer
Date
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DD
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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
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Your answer
Home/Cell Phone
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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
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
What would you do if this dog needed training?
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
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
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
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Do you rent or own your home? How long have you lived there?
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Describe a typical day for your household.
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