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HOME ENVIRONMENT |
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*Type of residence:
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House
Condo
Townhome
Apartment
Mobile Home Other
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*Do you: |
Own
Rent
Other
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*How long have you
lived at you current address? |
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*Are you planning to
move in the near future? |
Yes
No |
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If yes, where? |
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| *
Explain the pet policy where you live. (ie any covenants,
restrictions, pet deposits, etc) |
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| * Do
you have a fenced-in yard? |
Yes
No |
| If yes - note the
approximate size of the fenced area, and height and type of fencing
material (ie wooden, privacy, chain link, etc.). |
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Approximately how many hours of the day will the dog be alone? |
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Where will the dog be kept when you are not at home? |
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Where will the dog be kept during the day? |
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Where will the dog sleep at night?
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What type of exercise do you plan to
give this dog? |
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| * Who
will have primary responsibility for the care of this dog? |
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| *Number
of adults in household? |
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| *Number
of children in household? |
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| Please
list ages of children. |
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*Do you have any cats? |
Yes
No |
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FOSTER DOG
PREFERENCES |
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* What dog gender would you prefer? |
Male
Female
Either |
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* What size dog would you prefer? |
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What age dog would you prefer? |
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*What expectations do you have for this dog? |
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*Are there any special circumstances or
requirements you may have that you would like us to know about?
Please Explain. |
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Please list
all animals currently living in your household |
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Name
Type
Age
Sex:
Male
Female
Spayed/Neutered Yes
No
Time Owned
Kept: Inside
Outside
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Name
Type
Age
Sex:
Male
Female
Spayed/Neutered Yes
No
Time Owned
Kept: Inside
Outside
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Name
Type
Age
Sex:
Male
Female
Spayed/Neutered Yes
No
Time Owned
Kept: Inside
Outside
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Name
Type
Age
Sex:
Male
Female
Spayed/Neutered Yes
No
Time Owned
Kept: Inside
Outside
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