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Application Form Please
read the sample application form to your right. You will be asked
to complete this form before before ou adopt any of our rescue dogs.
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How
did you hear about Dalmatian Rescue?
Name:________________Address:______________ City, _______State_____, Zip______ Phone numbers: Work: Home: No. Children: Ages Residence: House Townhouse: Apt./Condo: Own? Rent: If renting, does your lease permit pets the size of a Dalmatian (approx. 55 lb.?) Do you have a secure fenced yard? May a DRNT rep. visit your home? Other pets: Male Female Spayed/Neutered? Age: Other pets: Male Female Spayed/Neutered? Age: Other pets: Male Female Spayed/Neutered? Age: Previous dog(s) owned: What happened to the previous dog(s)? hit by car ran away given away Died of natural causes at age Euthanized for cause other than illness Other Details: Where will the dog stay? house-fulltime yard-fulltime yard day-house night___ Other: Understand that housetraining may be necessary? Understand housetraining may take long with an older dog? Feelings towards crates: positive negative mixed Understand that adopting a rescued dog may present difficulties not foreseen due to the unknown background of the dog? Agree that should future circumstances require giving up the dog, that DRNT must be contacted first? Do you currently use a veterinarian on a regular basis? Contact for reference? Vet name, address and phone number:_______________ |
