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Name
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Last Name
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Email Address
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Phone Number
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Address
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City and Province
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Name of dog you are adopting
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Who will be the dog’s primary caregiver?
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Name(s) and age(s) of all household members
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Do you rent your property or own?
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If yes, landlords name & phone number
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What type of residence do you live in? (house, condo, apartment, etc
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Is your yard completely fenced? If not, how will you deal with the dogs toilet and exercise needs?
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How many animals do you currently have? Please list type of pet along with age and gender:
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Are all of your pets up UTD on vaccinations?
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Are they spayed/neutered?
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If you have pets, who is your veterinarian? (Name, Phone, Address):
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How many hours will the dog be left alone?
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Where will the dog spend the day and night?
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Personal References: Please list the relationship, phone number and email of 2 references.
Personal References: Please list the relationship, phone number and email of 2 references.
Are you financially able to provide for a dog? (Food, toys, grooming needs, obedience/training needs, vaccinations and other medical necessities including emergency veterinary care)
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Are you prepared to deal with any behaviour issues (such as jumping, chewing, pulling at leash, etc) that arise?
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Do you agree to licence and provide regular healthcare to your dog?
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Are you willing to let a HANNAS HAVEN DOG RESCUE representative come to your house for a home check?
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Do you promise to return the dog/puppy to HANNAS HAVEN DOG RESCUE if you can no longer provide the proper care or environment for them?
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Do you promise to love and care for this dog/puppy?
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