Which dog are you interested in adopting
How did you become aware of this dog?
Why do you want to adopt this particular dog
What special needs have you been told will be needed by this dog after adoption
First & last name
Address
Length of time at address
City
State
Zipcode
Date of birth
Driver's license number?
Email
Preferred phone number
Occupation
Hours at work each week
Employer's name
Years employed there
Employer address & telephone number
Spouse's/partner's name
Spouse's/partner's date of birth
Spouse/partner's driver's license number
Spouse's/partner's email address?
Spouse's/partner's preferred phone
Spouse's/partners occupation
Hours at work each week
Spouse's/partner's employer
Years employed there
Spouse's/partner's employer address & telephone number
Individiuals who share your home (names, ages & relationship)
Are there regular visitors to your home (human or animal) which your new dog must get along with
Yes
No
List any minors who live with you and their ages
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