Application to Adopt a fabulous flunky

Adopt a Dog application

Personal Details
Name:
Address:
City:
State:	Zip:
Home phone :	( )
Cell phone :	( )
Work phone:	( )
E-mail address:
Your environment and dog preference
Do you have a cat?	Yes No
Do you have other pets?	Yes No
Do you have any other dogs?	Yes No
If yes, what breed(s)?:
Have you had a dog(s) before?	Yes No
If yes, what breed(s)?:
How long has it been since you've had a dog?	years
How many hours would the dog be home alone during the day?
Please list size and breed of the dog you would prefer.
What hair length would you prefer:
How energetic
Is there any breed you would NOT consider?
Managing the time the dog spends outside:
Do you have a dog run?	Yes No
Do you have a fenced in yard?	Yes No
Would you walk the dog?	Yes No
Would you allow the dog to run free?	Yes No
Please give us any other additional information you feel would be helpful in placing a dog with you.