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ZELDA'S K9 RESCUE
How many hours a day will he/she be alone at home?
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Phone
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Email
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Where will he/she stay when home alone?
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Are you over the age of 18?
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Yes
No
Have you ever adopted from a rescue or shelter before? If so, which one?
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If you rent, please provide your landlord's name and phone number for verification
What type of exercise will you provide for the dog?
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How many individuals over the age of 18 live in your household and what is their relationship to you?
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Do you rent or own your home?
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Rent
Own
Address
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If so, please list breed, gender, and age of each.
Thank you for your application! We will contact you within the next 24 hours.
What Heartworm and Flea preventative do you currently use?
If not, please explain why:
How many individuals under the age of 18 live in your household and what is their relationship to you?
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Do you currently have any pets?
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Yes
No
Name:
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Are your current pets spayed and/or neutered?
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Yes
No
Please list the name and phone number of your current veterinarian or the one who treated your previous pets:
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By providing your electronic signature, you are confirming that all information provided in this application is true.
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If so, what happened to them?
Which dog are you interested in and why?
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Have you had any other pets prior to you current ones?
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Yes
No
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