Which dog are you interested in? (Please list only one) *
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Your Name *
First and last name
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Occupation: *
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Email *
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Phone number *
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Full Address (include city, state, zip): *
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Who lives in your home? Please include ages of any children. *
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Please list other pets in your home, include age and species. *
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What type of home do you live in? *
Do you rent or own your home? *
Have you ever had to give up a pet? Explain. *
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Name of veterinarian's office: *
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Veterinarians Office Name, Address and Phone: *
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What type of food do you plan to feed your dog? *
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Personal Reference (who does not live with you) full name and phone number *
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Do you have a fenced yard? (Not required for all adoptions.) *
Why are you the perfect home for this pup? *
Your answer
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