K9 Lifeline Rescue Application
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| First and Last Name
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| Full Address (Including City, State, Zip)
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| Name of Pet you are Interested in
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| I am looking to adopt a dog that lives mainly as an
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| How soon will you be ready to adopt a new dog / puppy
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| What is your occupation and work hours
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| Co-Adopters First and Last Name
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| Co-Adopters occupation and work hours
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| Home Phone & Cell Phone Numbers
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| Can you be reached during the day? If so, at what number?
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| Email Address
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| Please list all members that live in this household and their ages
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| Please tell us why you would like to adopt a new family member
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| Do you own or rent? If you rent, please provide landlords name and phone number
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| Do you have a fenced yard? If no, how will you exercise and potty the dog/puppy?
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| List all current pets, including breed, age and sex
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| Please list the name, phone number and city of the veterinarian who has the most current records on your pets
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| Are all your pets Spayed and/or neutered? If no, why not?
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| Are your pets current on their vaccinations?
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| Do you know what heartworm is?
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| Do you believe dogs should be given monthly heartworm pills?
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| What brand of Heartworm pills do you use?
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| Please list any previous pets you have had in the last 5 years and what happened to them
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| Have you ever surrendered a pet to an animal shelter? If so, why?
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| What breed or specific breed listed are you interested in?
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| Why do you like this breed?
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| Do ALL members of the household want to adopt this pet?
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| Who will be primarily responsible for the care of this pet?
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| If you owned a dog before, what kind of dog food did you use, and were you happy with it?
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| How much time are you willing to give this dog to adjust and fit into your home?
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| It may take several weeks to a few months for your new dog to adjust to its new home and family. How will you handle this?
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| How many hours per day on average will this dog be home alone? When the dog is left home alone, where will the dog stay?
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| Where will this dog sleep at night when trained?
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| In an average week, how many hours will the dog be left outside while no one is home?
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| Do you have time, patience, love and physical ability to care for this dog?
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| Did you know such dog foods as Science Diet, Iams and Purina have little to No nutritional value?
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| Are you interested in knowing which dog foods, for the same price of the above foods ARE quality dog foods?
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| What activities do you plan to do with your dog?
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| Do you want this dog for: (list all that apply) ~ Family Pet ~ Hunting Dog ~ Guard Dog ~ Obedience Dog ~ Other (please explain)
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| Are you prepared for chewing, digging, scratching, house training, and/or mischievous behavior? How will you reprimand your dog?
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| How and where did you hear about this rescue and/or website?
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| Are you willing to put down a $25.00 deposit in addition to the adoption fee indicated if the dog you want is too young or has a medical condition preventing spay / neuter?
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| Are you available for a home visit?
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| Have you applied with any other Rescue or Shelter in the past 6 months?
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| If YES, please list which one/s and if you have you been approved by, along with their contact information or if you are still waiting for an answer.
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| Has this Rescue or Shelter conducted a home visit?
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| Please list anything else you would like us to know:
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| I (type your name in box on right) have read ALL of the above information and have answered each question completely and truthfully to the best of my ability.
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| By submitting this application, I, (type name in box on right again!) AGREE to any and all terms listed on this application!
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| Sign full name in box on right!
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| Email
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