ࡱ> Z   !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIKLMNOPQRSTUVWXYRoot EntryZ O2p+[CONTENTS Object 22YnL -w+w+ContentsJaware of the necessary annual shots for dogs? Yes No Are you familiar with (circle all that apply): Canine Parvovirus/Distemper, Heartworm Prevention, Lyme Vaccine, Rabies Who will be financially responsible for necessary vet care? ________________________ Current veterinarians Name, Practice Name, Address and Phone Number __________________________________________________________________________________________________________________________________________________________________________ I hereby give permission for my Veterinarian to release information to MMDRA on any pets that I have owned, live or deceased.______________________________________ Please provide one personal reference and one professional reference. Name/Company__________________________________ _______________________________________ Address_________________________________________ _______________________________________ Phone Number___________________________________ _______________________________________ Email__________________________________________ _______________________________________ Have you ever had a pet before? Yes No If yes, what happened to the pet(s)? ___________________________________________ Please list any pets you currently have? _______________________________________ _______________________________________________________________________ How will you introduce your pet to your rescue pet?______________________________ ________________________________________________________________________ How many hours a day will the pet be left alone?_______________________ Where will your pet spend this time?_________________________________________ Do they agree with crate training? ________________________________________ Are you willing to purchase and use a craCHNKWKS TEXTTEXT%FDPPFDPP(FDPPFDPP*FDPCFDPC,FDPCFDPC.STSHSTSH0hSTSHSTSHh1SYIDSYID4SGP SGP "4INK INK &4BTEPPLC *4 BTECPLC J4 FONTFONTj4TOKNPLC (5EOBJPLC 54STRSPLC 5:MCLDMCLD 64PRNTWNPRjFRAMFRAMω____________DOG RESCUE AND ADOPTIONS Giving Dogs A Life Mandy Morningstar 717-677-6890 Biglerville, PA mmstardogrescue@aol.com mmstardogrescue.petfinder.com Adoption Application Pet s Name_____________________ Do you understand that you will be sharing your life with a dog for 14-18 years, who is totally dependent on you for food, shelter, health, and veterinary care? Are you willing to make this long term commitment to a dog as a family member? Applicant s Name: _____________________________ Co-Applicant s Name: __________________________ Address_______________________________________: City/State/Zip: _____________________________________ HomePhone:_____________________________WorkPhone:____________________ Cell____________________________________ Email____________________________________________ Your Occupation_____________________ Co-App. Occupation__________________ Number of Adults in Home____________________ Number of Children and Ages__________________________________________________ Do all members of your household want a dog? Yes No What type of dog are you looking for?_________________________ What adjectives would you use to describe the dog you are looking for?_____________ Do you own or rent your home? Yes No Dwelling Type:_________________ If you rent, when does your lease expire? _____________ Do you have permission to own a pet? _____________Are there stipulations? Yes No Landlord's Name & Phone Number__________________________________________ Do you have a fenced yard? Yes No What size? ____________________________ Is there direct access from house to fence? Yes No If no fenced in yard, are you committed to leash walking? Yes No Are you te?____________________________________ Where will your dog sleep?_______________________________________________ Who will have primary responsibility for the care of the dog?______________________ Do you own a pool? Yes No How do you plan on protecting your dog from drowning?________________________ Do you have a dog door? Yes No Are you aware some common household products and plants are toxic to pets? Yes No Are you willing to housetrain? Yes No Are you equipped to train with love and patience? Yes No Are you willing to participate in obedience training if needed? Yes No Are you willing to inform Morningstar Dog Rescue if and when problems arise? Yes No Are you willing to allow Morningstar Dog Rescue to contact you concerning this pet? Yes No By signing below, I state that all of the information I have provided is true and complete, to the best of my knowledge. I understand that providing false information on this application, or at any other time will disqualify me from this adoption. Applicant s Signature___________________________________ Date:____________ Co-Applicant s Signature________________________________ Date: ___________ What do you look forward to most doing with your new friend? ________________ Email_________________=2X\^`rt(*jLNph  8 6 pnl\.l $XzP` zzzzzzzvvvzzzzzzzzzzzzzzzzz 11 "W1 "^&1 "1 "A1*" 12'( d5 ` F!!""B###%%&&'('*',''''''''(2"'( R4 h ,12"'( R4 h  " 1 "11 2XZ\^`Bp*JL `"~rnhn   "< "$$ 08."2 "$$ 086 "$$ 08.">  "$$ 08."8 " $ ."4 " $ ."4 " $ ."   6 8 4 6 %%'''''|vjBB("$ 08  "- "!( "!$ 08, "!$  08"$ 08TTSH8>b4Definition TermDefinition ListH1H2H3H4H5H6Address Blockquote Preformattedz-Bottom of Form z-Top of FormTSHp~$4>NXhp~HT " * " " " "|  ""| "  "|" "  "" " " "  "" "  "" "  ""  "  "|"|, "$  08)P2J' (@ J   O +%( u.0 78 c A@ (VJH SP \. " $  08u. 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