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Name of Applicant
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Email Address:
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Address, City, State, Zip
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Phone Number:
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Phone Number (additional):
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Are you at least 21 years of age?
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Yes
No
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Describe the animal you are looking for:
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Would this be your first pet?
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Yes
No
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What kind of pets have you had in the past?
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Which of these, if any, do you still have?
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Have they been spayed or neutered?
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What happen to the ones you no longer have?
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Why do you want this animal?
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Companion
Companion for other pet
Gift for someone else
House pet
Watch dog
Guard dog
Hunting
Personal protection
Other
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How many adults in family?
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How many children in family? Ages?
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On a typical day, how many hours would the pet be left alone?
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Where would the pet be kept during the day when you are AWAY?
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Where would the pet be kept during the day when you are HOME?
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Where would the pet be kept at NIGHT?
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Which describes your housing status?
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Rent a house
Rent an apartment
Own a house
Living with parents
Other
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If you rent, please provide your landlord's name and number:
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Do you have a fenced yard?
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No
Partially fenced
Yes
Other
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If your yard is fenced, how tall is the fence?
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If your yard is not fenced, how do you plan to keep your new pet confined to your property?
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In the house
Patio area
Kennel or crate
Garage
Other
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Do you have any hobbies that would include your dog?
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If your new pet is not trained, how do you plan to house-train and obedience-train your new pet?
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Have you ever adopted a dog or cat from a shelter or rescue group before? If so, which group and when?
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Are you financially able and willing to provide adequate medical care if your pet becomes ill?
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Are you willing to take the responsibility for this pet for the next 10-15 years?
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Please provide the name and phone number of a personal reference (other than household memebers):
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How did you hear about Four Paws Rescue?
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www.Petfinder.org
www.Pets911.com
www.1-800-save-a-pet.com
Internet search
Word of mouth
Advertisement
Already adopted from Four Paws
Other
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