| Name: |
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| Address |
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| City, State, Zip Code |
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| Best Phone Contact Number |
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| Emergency Contact |
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| Email Address: |
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| Are there children living in the home? |
Yes
No
Not full time
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| Please list ages of your children. |
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| Have you ever owned a pet before? |
Yes
No
As a child
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| Do you currently own any pets? |
Yes
No
|
| Please check current pets if any. |
Cat(s)
Kitten(s)
Dog(s)
Puppy(s)
Other indoor critters
Outdoor cat(s)
Outdoor dog(s)
Outdoor farm animals
Exotics
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| Are your current pets spayed or neutered? |
Yes
No
Not yet
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| Please list previous pets if any? |
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| Do you rent or own your home? |
Rent Apartment
Rent Townhouse
Rent House
Own Townhouse
Own House
Live with family member
Other
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| If you rent or live with a family member, please list the name and telephone number of your landlord or apartment complex. |
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| If you rent, does your rental agreement state any of the following... |
Limited number of pets
Weight limits
Breed specifics
Pet deposits
Pet fees
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| Do you have a fenced yard? |
Yes
No
Not yet
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| Please list what type of fencing you have. |
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| Please list the name and phone number of your current vet, one you plan to use or one you have used in the past. |
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| Are you willing to use a crate and/or muzzle to help acclimate your hound? |
Yes
No
I need more information
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| How long will your hound be alone during your work day? |
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| Where do you intend to keep your hound while you are not home? |
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| Where do you intend to keep your hound at night? |
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| Do you have any specific personality traits in mind that would describe the type of pet you are looking for? |
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| Would you be interested in a special needs hound? |
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| How did you hear about us? |
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