First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone*

Work Phone
x

Cell Phone

In which animal are you interested?*
Choose an animal: MAC PIF HUSKY RESCUE COURTESY POST

If purebred dog, have you researched the breed?*

What makes you want to adopt a dog or cat at this time?*

How much time will the animal spend alone during the day*

Will the animal be kept inside or outside*

Where will the animal be kept when you are not home*

Where will the animal be kept when you are home*

Where will the animal sleep*

For cats only: Are you planning to declaw

Describe how you will train the pet*

Please describe your home and yard, including information on fencing and gates (locked or not).*

Do you own or rent your home*

If you rent, please enter your landlord's name and phone number (or "none" if you own)*

If you rent, have you received the approval of your landlord to have an animal? (N/A if you own.)*

How many people reside in your household*

Do you have children at home? If yes, please list their ages:*

Please list all other pets you have in your home, and indicate their ages and whether they are spayed/neutered.*

Does your home have a doggy door?*

Please describe your prior experience with dogs, cats and other pets.*

Have you ever given up a pet? If yes, please explain*