Your Information
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Name of Primary Adopter
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Spouse/Partner
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Ages of Children In Household
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Other Persons Living in Household (relatives, friends, assistants, house staff, etc.)
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Are There Other Children Who Visit Frequently (shared custody, frequent friends visiting, cousins, grandchildren, neighbors, etc.)
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What Dog(s) Are You Interested In
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Are You Interested In Fostering Or Adopting
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Primary Adopter’s Occupation
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Job Description (location, hours)
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Spouse / Partner’s Job Description
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Street Address: (no P.O. Boxes)
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City
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State
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Zip Code
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Home Phone
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Cell Phone
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Work Phone
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Email
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Instant Msg Name
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Housing Information
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Rent or Own?
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Years at Address
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If Rental, OK For Us To Contact Landlord?
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Can You Verify Permission To Have A Dog
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Any Restrictions on Dogs Where You Live (weight, breed, number, etc.)
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Describe Yard and House Set-up In Detail
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Describe All Fencing In Detail
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Where Will The Dog Spend The Day?
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Where Will The Dog Sleep?
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Is There A Dog Door?
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Does Anyone Have Access To Your Home While You Are Away (Gardener, Housekeeper, Dog Walker, Etc)
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How Many Hours Will The Dog Typically Be Home Alone?
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Describe ALL Fencing On Property In Detail
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Pet History
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Do You Have Other Pets Currently?
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If so, describe (species, age, how long you have had, gender, neutered or spayed, temperament, general lifestyle the animal is used to)
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What Pets Have You Had In The Past? (be specific)
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What Happened To Those Pets?
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Have You Ever Adopted A Dog From A Rescue Group Or Shelter Before? Tell Us About That
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Current Veterinarian
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Will You Be Willing To Hire A Qualified Trainer To Work With An Adopted Dog In The Event A Problem Arose Or Existed? This Can Cost $250 Or So, Are You Open To That?
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Are You Willing To Make Any Changes In Home Set-up Or Lifestyle To Accommodate The Needs Of An Adopted Dog, During Adjustment Period or Ongoing?
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What Would Cause You To Give Up The Pet?
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Would You Agree To Sign An Adoption Contract Which Makes You Solely Responsible For The Dog, Financially, Legally And Otherwise?
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Would You Agree To Sign An Adoption Contract Which Allows The Rescue Group To Take Back The Dog If You Become Unwilling Or Unable To Properly Care For The Dog?
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Are you financially able to make an adoption donation (generally $300) and care for a dog’s needs?
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Have You Made Arrangements For What Would Happen To The Dog If You Became Ill Or Passed On? If You and Your Spouse Or Partner Split Up? (sorry, we have to ask)
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Any Other Information About You We Should Know?
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