AVSDA Dog Application/ Personal Reference
Please have any adults living in your household complete this form (you can copy the link, above, and email it to them). Please also have a friend or family member who does not presently live with you, but is familiar with your ability to care for a dog, complete this form.
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Your Name: *
Your Email: *
Your Phone Number: *
Your Address: *
Your Friend's Name (The AVSDA Applicant): *
How long have you known the applicant: *
Does the applicant currently have any pets? Please describe them: *
Has the applicant had pets in the past? Please describe them: *
How would you describe the applicant's relationship with past or current pets? *
 Please describe examples of the applicant's pet care you are familiar with: *
In your opinion is the applicant able to provide proper care to maintain the health and safety of a dog? Please elaborate: *
To your knowledge, has the applicant ever had a pet removed from the home by authorities? *
To your knowledge, has the applicant ever surrendered  or rehomed a pet? *
Please share your thoughts regarding whether you do or do not advise we place a dog with the applicant: *
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