NAME:
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PHONE NUMBERS:
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HOW DID YOU HEAR ABOUT US?

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FAMILY:  Please provide information about the people living in your home, including their ages & description of their personalities.

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ACTIVITIES:  Please describe the activity level of your home, including all members of your family.

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PETS:  Please include information about any other pets living in your home.

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DO YOU HAVE A FENCED YARD?:   [YES]     [NO]    [NOT PRESENTLY, WILLING TO INSTALL ONE]

DO YOU HAVE A DOGGIE DOOR?:  [YES]     [NO]    [NOT PRESENTLY, WILLING TO INSTALL ONE]

IF YOU WILL NOT HAVE A DOGGIE DOOR, ARE YOU WILLING TO PROVIDE TRANSITIONAL TRAINING AS NEEDED?:  [YES]    [NO]

FUTURE DOG:  Please describe, including the level of importance, the qualities you are seeking in your new family member.

GENDER:  [Male]  [Female]  [Either]

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BREED:  [Coton de Tulear]  [Havanese]  [Either]

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COLOR:

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PERSONALITY:

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AGE RANGE:

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COMMITMENT AGREEMENT:  By applying for consideration of a Rescue Dog or Retiree, you do so with the understanding that adult
dogs are more established in their environment and accustomed to certain daily routines. Making big changes and leaving home can be
scary; adjustment and bonding time will likely take longer than that of a young puppy. You promise, in advance, to be patient while
allowing your new pet to become acclimated to you and your home. Further, you will agree to provide any training required through
positive reinforcement methods. If you are unable to provide appropriate care or to keep your dog for any reason, he ,or she, will be
returned to us. Adoption fees are not refundable.

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