Name
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First Name
Last Name
Email
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Phone
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(###)
###
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Do you have Instagram?
How did you hear about us?
Which dog are you interested in?
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Are you open to another recommendation based on fit?
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What energy level is best for you?
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Check all that apply
What age group are you most interested in?
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Check all that apply
Is everyone in the household on board to adopt a dog?
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How many hours will the dog be left at home daily? Please describe a usual weekly schedule and where your dog will be when you leave the house.
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Do you have permission from the property owner to adopt a dog?
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Are there any breed/size restrictions or insurance policy needed in your building?
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Do you have stairs leading into or inside your home?
Do you have an enclosed outdoor area? Please include information about size, fence/gate height and material, ground material and if any neighboring dogs.
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Describe the area around your home.
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Check all that apply.
Where will your dog sleep at night?
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What is your experience with dogs? Did you grow up with, own, care for, dogsit, foster, etc? Please mention size, breed, temperament and your involvement in care.
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Do you have any experience with any behavioral modification or training? Please describe if you have have experience house training, crate training, basic obedience, reactivity, separation anxiety, stranger danger, etc.
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Is there anything else you'd like us to know?
