Dog Adoption Application

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Dog Adoption Application
Applicant Name:_________________________________________Date:______________________
Address:_______________________________
Home phone#:_______________________________Cell#__________________________________
Email:____________________________________________________________________________
Employer Name/Number:___________________________________________________________
Occupation:_______________________________________________________________________
Are You 18 Years or Older? ________________________________________________________
Are You a Student? ________________________________________________________________
 What type of puppy/dog are you interested it? _____________________________________
 Please check: Male____Female____Puppy____Adult_____
 Personality type:_____________Color:_______________Size:_______________
 How many people currently reside in your household?_____________
 Any children in the household? Ages?____________________________________________
 Does any member of the household have allergies?__________________________________
 Who will be responsible for the dogs care?________________________________________
 What type of dwelling do you live in?_____________________________________________
 Do you rent or own?___________________________________________________________
 If you rent please name your landlord and phone number.___________________________
 Are pets allowed? Yes________No_________Not Sure_________________
 Where will the dog be kept?____________________________________________________
 If outdoors, will the dog be -attended_________-unattended_________
 Do you have a fenced in yard?___________________________________________________
 Will anyone be home during the day?____________________________________________

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