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FIELDS MARKED WITH * ARE REQUIRED!

Dog Information

Please enter the information about you and the dog you might want to adopt:

Name of dog to adopt*:
Foster parent*
Do you have previous experience with this breed?
Where will the dog be during the day?:
Where will the dog be at night?:
How many pets do you currently have?:
Have you ever raised a puppy before?
Have you had previous pets?
Why are they no longer with you?:

Applicant Information







Over 21?
Housing Information
Type of home?
Own or lease?
If you lease, do you have permission to own a dog?
Landlord name (first and last):
Landlord phone:
Fenced?
Fence height:
Fence type:
Yard size:
Swimming pool?
Household Information Number of people in household:
Number of adults:
Number of children:
Is anyone in household allergic to pets?
Hours worked per week:

When done, please
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