What type of pet are you interested in adopting?

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Will this be an indoor or outdoor pet? ______________________________________

Do you live in a house or apartment?_______________________ Fenced yard?_____

If renting, do you have permission to have a pet?_____________________________

Do you work outside of the home?____________ How many hours per day?______

Do you have any other pets?______________________________________________

Veterinarian’s name and Phone#_________________________________________

What pets have you had in the past, and where are they now? _________________

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Are your current pets spayed/neutered, on HW prevention, and current on all vaccinations?

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If adoption is found to be in mine and the pets best interest, I agree to supply my pet with essential veterinary care, food, water, shelter, and most of all, LOTS OF LOVE!!