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Do you have a fenced in front or back yard?*

Do you own or rent your home?*

How often will the dog be tied up or caged?*

Will the dog be used as a guard dog?*

Are you willing to take the time to groom this dog?*

Are you willing to take the time to socialize the dog so he/she becomes well adjusted?*

Does your home insurance, landlord, or rental complex allow a dog? You must show proof.*

Do you have any children under the age of 4?*

If you have kids, have they been taught to respect animals?*

Please list all other pets that are in the household.*

When you go on vacation, who will care for the dog? Or will he/she go with you?*

If you are no longer able to keep this dog, what will you do?*

If you pass away, is your dog's well being included in your will? Who will take over ownership of the dog?*

Will the dog be used for breeding purposes?*

Would you have a problem having the dog being spayed or neutered?*

Will you or someone else in the household have time to take care of this dog? This includes walking, feeding, and playing with the dog?*

Do you mind if I come to see your home or the place where the dog will be kept?*

Do you have any credit problems that may inhibit this dog from getting the necessary medical attention should he/she ever require it?*

Please describe how you're the best home for this dog.*

First Name*

Last Name*

Phone Number*

Relationship*

First Name*

Last Name*

Phone Number*

Relationship*

First Name*

Last Name*

Phone Number*

Relationship*

Please Provide 3 References