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Personal Information:

Birthday

Household Information:

In what type of home do you reside?
House
Apartment
Mobile home (on owned land)
Mobile home (in privately owned park)
Condo
Other
Do you:
Own
Rent
Live with owner
Live with parent/guardian
Other

Veterinarian Information:

Please indicate the type of dog you are looking for:

Why do you want this dog? (choose all that apply)
Gender
Male
Female
Open to gender
Where will this dog live?
Strictly indoor
Strictly outdoor
Other
When you are not home, where will this dog be?
Along for the adventure
Free roam inside the home
Crated inside the home
Confined to one room of the home
Outside
Other
I am open to (check all that apply):
How will you confine this dog to your property:
Off leash
Fenced Yard
Invisible Fence
Runner/Groundstake/Chain
Leash Walk
Other

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Have you ever given a pet away to another person or animal shelter?
Yes
No

Dog Adoption Application

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