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Applicant Information

Full Name

Phone Number

Street Address

City, State, Zip

Current & Previous Pets

Do you currently have any pets?

If yes, list species/breed, ages, and temperament

Are your current pets spayed/neutered and up-to-date on vaccinations

Have you owned dogs in the past

If yes, describe your experience

Commitment & Background

Are you prepared for the financial responsibilities of dog ownership(food, vet care, emergencies, training, etc.)?

Are you willing to allow a home visit if required

Is there anything else you'd like us to know so we can help match you with the right dog?