ADOPTION APPLICATION
* = Required fields! PLEASE NOTE: If I don't have a contact address or phone number I cannot reply to your submission!
Your Name(s):
Address: *
City: *
State: *
Zip Code:
Home Phone (*with area code):
Work Phone (*with area code) :
Cell Phone (*with area code):
Email *(e.g. -johndoe@aol.com)::
Additional Email: *(e.g. -johndoe@aol.com):
Do you live in a: House Apartment Other
If you rent, do you have your landlord's approval to own this dog? Yes No
Do you have a 6 foot fenced yard? Yes No
Type Of Fence: Chain Link Wood Underground Electric Other (The more flexible you are the greater the chance of a perfect match.)
How old are you?
Do you have any children? No Children Infants Over 6 Years Teenagers Grown Family
Are you? Married Single Engaged
Do you have roommates? Yes No
Do you have other dogs/pets of any kind living with you? Yes No
If so, what kind? Dogs Cats Ferrets Rabbits Hamsters Mice Birds Lizards Reptiles Other
Have you ever been owned by this breed before? Yes No
What traits are you looking for in a dog?
Why have you decided you would like this breed versus another breed?
Have you ever met a dog of this breed? Yes No
Do you work and if so, choose type of work? Work Full Time Work Part Time Retired Other
Are you interested in a male or female? Male Female
Do you have a colour preference? Red N White Black N White TriColor Brindle N White
Can you also give me a second/ third colour preference? Red N White Black N White TriColor Brindle N White
Do you have suggestions/ comments/ feedback, that may improve my website for other potential owners?
If so, please submit your comments/suggestions below:
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