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Dog Adoption Form
Email for non-humans
First Name
*
Last Name
*
Home Phone
*
Mobile Phone
Email
*
Address
*
City
*
Province
*
Postal Code
*
*
Required Field
Please check reason for adopting
*
Pet
Watchdog
Breeding
Hunting
Child's Playmate
Are you adopting for
*
Yourself
Immediate Family
Are you
*
Under 18
19-29
30-60
61-75
75+
Do you live in
*
House
Apartment
Condo
Townhouse
Do you own or rent
*
Own
Rent
If you live in an apartment, on which floor?
*
How long have you lived at your present address
*
How many people live at your home
*
Please list the ages of any children
Is any member of your family allergic to dogs
*
Yes
No
Unknown
Please list any other pets in your home
Are your other pets vaccinated
Yes
No
Are your pets spayed/neutered
Yes
No
Is there someone home during the day
*
Yes
No
Have you any experience in housebreaking a dog
*
Yes
No
Will the dog be kept in
*
Home
Yard
Both
Do you have a fenced yard
*
Yes
No
Will the dog be tied up
*
Yes
No
Have you ever had a dog before
*
Yes
No
What became of the dog
*
Have you ever adopted an animal from LAWS
Yes
No
Name of your Veterinarian
*
What brought you to LAWS
*
If this dog becomes ill or injured, are you prepared to be financially responsible for it
*
Yes
No
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