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Name (First and
Last):
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Best Phone Number
To Reach You At:
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Secondary
Telephone Number:
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Email
Address:
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Spouse/Partner
Name (First and Last):
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Spouse/Partner
Telephone Number:
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Spouse/Partner
Email Address:
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Complete Home
Address (include zip code):
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How long have you
been at this address?
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Do You Own Your
Home?
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Yes
No
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If No, Please Provide
Contact Information for Whom Ever You Lease
or Rent From:
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Are There Any
Restrictions (size, number, breed, etc) on Pets
Where You Live, If Yes Please List and
Explain:
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Do You Have A
Pool?
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Yes
No
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If Yes, Is Pool
Fenced?
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Yes
No
Partially
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Do You Have Stairs
In Your Home?
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Yes
No
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Do You Have a
Fenced Yard?
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Yes
No
Partially
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Explain Type of
Fencing:
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Height of
Fencing:
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Are you planning to
move soon?
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Yes
No
Maybe
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If Yes, Where?
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Your
Occupation:
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Employer:
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Additional Work
Telephone Number?
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Spouse/Partner
Occupation?
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Spouse/Partner
Employer:
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Spouse/Partner
Work Telephone Number:
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How Many Adults
Live in Your Home?
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List Names of Adults
in Household:
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How Many Children
Live in Your Home?
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List Names and
Ages of Children in Household
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Is Every Member of
Your Household Aware of Your Intention To
Adopt A Pet?
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Yes
No
Don't Know
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Is This Pet Intended
to be a Gift?
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Yes
No
Maybe
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Do You Currently
Own One or More Dogs?
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Yes
No
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How Many Dogs?
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List Breeds, Ages
and How Long You Have Had Each
Dog:
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Are All of Your Dogs
Spayed or Neutered?
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Yes
No
Don't Know
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If No, Why Not?
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Please List Any
Other Pets in Your Home:
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Have You Ever
Owned a Newfoundland Dog?
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Yes
No
Newfie Mix
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If Yes, Where Did
You Get Your Dog From Originally and Where
is He/She Now?
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Please List Any
Other Dogs You Have Owned in The Past and
What Happened to Each:
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What Do You or Did
You Enjoy Most About Dog Ownership?
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If You Have Not
Owned A Dog Previously, What Do You Expect
From Ownership?
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What Do You or Do
You Think You Will Like Least About Dog
Ownership?
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Have You Been A
Member of a Newfoundland Breed Dog Club?
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Yes
No
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If Yes, Where?
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Have You Ever Been
a Member of a Dog Club?
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Yes
No
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If Yes, Which Club?
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Please Describe
Your Ideal Dog:
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How Did You Learn
About The Newfoundland Breed?
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What Do You Like
Most About The Newfoundland Breed?
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What Do You Like
Least About The Newfoundland Breed?
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Is Anyone in Your
Home Allergic to Dogs?
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Yes
No
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Who Will Feed, Train
and Care For This Pet?
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Do You Plan To Use
a Dog Crate?
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Yes, will crate for training
No, do not
believe in ever using a crate
Depends. will use if
needed
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Do You Currently
Own a Dog Crate Big Enough For a
Newfoundland?
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Yes
No
No, but will purchase
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Have You or Anyone
in Your Household Been Convicted of an
Animal Related Crime?
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Yes
No
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How Many Hours
Will Your Newfoundland be Home Alone?
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Where Will Your Dog
be Kept When You Are Not Home?
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Do You Have A Dog
Door?
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Yes
No
Will install if needed
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Where Will Your Pet
be Kept at Night?
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Inside Loose
Inside Crated
Inside Gated Into One
Space
Outside Loose in Yard
Outside in Dog Run
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How Much Do You
Anticipate Spending Annually on Caring for
Your Newfoundland?
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How Will You Groom
Your Newfoundland?
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Self
Friend
Groomer
Mobile Groomer
Vet Grooming
No Grooming
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What do You Expect
Grooming to Cost?
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How Often do You
Think You Will Need to Groom Your
Newfoundland?
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Do You Travel
Frequently?
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Yes
No
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Who Watches Your
Pet When You Are Away?
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What Type of Vehicle
do You Drive?
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Do You Plan to
Obedience Train Your Dog?
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Yes
No
Yes, if needed
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Are You Willing to
House Train Your Pet?
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Yes, expect to work on this
No, hope not to need to
Will only adopt a
100% potty trained dog
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Are You Hoping to
Adopt:
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Male
Female
Either
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Are You Willing to
Adopt a Newfoundland Mix?
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Yes
No
Depends on what mixed
with
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Age Range
Preference:
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Color
Preference:
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Are You Wiling to
Adopt a Dog With Special Medical Needs?
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Yes
No
Depends, maybe
Never, can not
commit to a special need
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Are You Willing to
Adopt a Shy Dog?
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Yes
No
Depends on severity
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Are You Willing to
Adopt a Previously Abused or Neglected Dog?
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Yes
No
Depends on Severity
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Are You Willing to
Adopt a Dog With Behavioral Problems
Requiring Special Training?
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Yes, will commit
Maybe, depends on issue
No,
never
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Are You Aware
Newfoundlands Are BIG Slobberers?
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Yes
No
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Are You Aware
Newfoundlands Shed Heavily?
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Yes
No
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Provide Veterinary
Contact Information:
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List Two Personal
References:
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How Did You Find
Us (if internet, please list site)?
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I am Aware That by
Marking Yes and Submitting This Form I am
Acknowledging All Information Above is Correct
and True.
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Yes
No
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