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Name of Dog interested in: |
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Name of Second Choice of Dog interested in: |
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| What is the earliest date you can welcome puppy/dog into your home?: (Note: We do NOT hold young puppies. Adult dogs are scheduled on an individual basis). | |
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Your Name:-- please put dog's name you are interested in after yours in parentheses--ex: Karen Wagner (Mongo). |
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| Address: | |
| City, State and Zip: | |
| Home Phone: | |
| Best time to call: | |
| Work Phone: | |
| Is it ok to call you at work? | |
| Email Address: We must have one that is checked often. | |
| Where did you hear about us?: | |
| Name of your vet: | |
| Vet's phone number: | |
| Personal reference: | Applications without a reference will be discarded! |
| Reference phone number: | |
| Name & age of children at home or young visiting grandchildren:. |
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Have you owned a dog in the past: |
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Have you owned a puppy in the past: |
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Are you willing to use a crate for training purposes? |
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Do you have a fenced-in yard? What type? |
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Do you wish to adopt a puppy, older puppy, or adult? |
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Any size preference? |
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Do you and your family go hiking, camping, fishing or participate in any other outdoor sports or exercise? |
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Is your household quiet, high-paced side with people coming and going, noisy? |
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Have your children/visiting grandchildren been around dogs before? Are they respectful of animals? |
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Will you allow the dog/puppy on furniture (many of the other dogs are used to being on furniture)? |
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Will the dog/puppy be allowed to sleep with you on the bed once he is housebroken? |
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Will the dog be an inside dog, part of the family, or will be staying outside? |
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Are you willing to house train or do you wish a housebroken dog? |
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Are you willing to be patient and will you keep the dog/puppy should accidents happen or favorite shoes and toys get chewed? |
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Are you willing to attend a basic obedience or puppy class even if you have owned a dog or puppy previously? (If in the Greater Milwaukee area, please see our business page for recommended schools), if no, why not?: |
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Is anyone in your household bothered with pet allergies? |
Do you own or rent your current residence:
If renting, please provide the following information about your Landlord:
(this is required if you are renting. We will contact the landlord!).
Name:
Address:
Phone:
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Do you work outside the home? Full-time, part-time? |
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How many hours a day will the puppy/dog be left alone? |
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If a puppy/dog is not yet house-trained, can someone stop by to let him out while you are away? |
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If you move from your present location, will the dog/puppy go with you to your new home? |
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If you have other animals at home, please list them: breed, age, neutered?
current on vaccinations?
Please note: - Adopter must agree to spay/neuter puppy by six months of age.
Please list any other animals, other than those mentioned above, that you have
owned in the past.
Please list by type of animal, and what happened to them:
COMMENTS, additional information you would
like us to consider when reviewing your application. Please list any
experience working with dogs at a shelter/rescue/daycare/fostering etc.
All applications go directly to our webmaster. Please allow 8 hours to
receive receipt that we have your application. If you have not heard
from our webmaster in that amount of time, please email her at
debbieandnic-rescue@yahoo.com
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