What dog are you interested in adopting?
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Applicant One
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First Name
Last Name
Applicant Two
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Driver's License #
Marital Status
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How long at this address?
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Phone
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(###)
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Secondary Phone
(###)
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Email
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Place of employment
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How long at you current place of employment
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1. How did you hear about TPBP?
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2. Please select one of the following
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3. Provide Landlord's name and number if you rent/lease.
4. How long have you lived at your current address?
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5. Activity level of household
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6. How many adults are in your household? Please include relationship to applicant.
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7. Please list ages and genders of any children in the home.
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8. If you have a fenced yard, please explain the type and height of said fence.
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9. If you do not have a fenced yard, what will you do for the pet's exercise and elimination requirements?
10. Describe any hazards (pool, traffic, etc.) and how the dog will be protected from them.
11. Under what circumstances do you think that it is OK to let a dog outside unattended?
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12. What, in your opinion, would constitute a prime reason for giving up a pet?
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13. Do any of your family members have allergies to animals? If so, please explain.
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14. Why do you want to adopt this dog?
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15. Who made the decision to adopt a dog?
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16. How much time and thought have you put into adopting a dog?
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17. What do you think is a reasonable monthly cost for food, supplies, grooming, vet care, etc?
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18. How many pets have you owned in the past 5 years? Where are those pets now?
19. Please enter name, age and type of pets that you currently have in your household. Please state if he/she is spayed and/or neutered.
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20. Where does your current pet sleep?
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21. Where does your current pet stay when home alone?
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22. What type of ID do you have on your current pet?
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23. What, if any, type of behavior problems have you had experience with in previous or current pets?
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24. What did you do about the problem(s) listed in Question No. 23?
25. Where will your new dog sleep?
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26. Where will you keep your new dog when home alone?
27. How many hours will your new dog he home alone?
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28. Do you have crate training experience?
29. Will your new dog be crated? If not, please explain.
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30. If you are unable to continue to provide a home for this dog, what will you do with him/her?
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31. Where will your dog stay if you are on vacation or unexpected emergencies?
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32. If you have ever given away a pet, please explain the circumstances and what you did with the pet.
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33. Will you be taking this dog to obedience classes? If not, please explain.
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34. What would you do if you have to move into an apartment/nursing home/medical facility that does NOT allow pets?
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35. Please explain how dogs get heartworm disease.
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36. Please state what brand of heartworm prevention you currently use.
37. What will you use to prevent fleas & ticks?
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38. Please explain how Parvo is contracted.
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39. Please list your current as well as previous veterinarian's name, phone number and clinic name. Whose name will be the account found under.
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40. Please list name, phone number and relationship to you of 3 personal references.
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41. Do you object to a home visit by a representative of our organization?
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42. Do we have your permission to contact your vet and/or references?
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Yes
No
By inputting your name and date below, you are indicating that you have answered every question truthfully and are aware that any false answers will be grounds for immediate rejection. You also give Toledo's PET Bull Project permission to contact all personal references and your veterinarian, giving them permission to speak with us. We would like to thank you for your interest.
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I understand the statements I have read about this dog are true based upon the foster evaluation of this dog. I understand this dog may behave differently (negatively or positively) in my home. I understand that while the dog might be good with the current foster’s dogs, cats, children, etc., it may not be with my animal(s) or child(ren). I understand that the dog may be housebroken in the home of the foster, but may relapse in my home. I understand that the dog is represented to me as it performs and behaves in the foster home and any statements made regarding the dog are conditional to the foster home setting. I have read all of the information about the dog and understand I cannot claim that I did not understand the facts about this dog as understood by Toledo’s PET Bull Project and/or the foster. I understand that the statements made regarding this dog are simply overviews and are not guaranteed. Furthermore, I understand that my adoption fee is non-refundable for any reason.
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Agree
Disagree
Notes:
