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Lucky-E Kennel
Adoption application
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Name
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First
Last
Address (street, city, state, zip code)
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Best phone number to reach you
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Best time of day to reach you
Email
*
Occupation
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Name of employer
*
Name of spouse/significant other
*
Spouse/significant other's occupation
*
Name of spouse/significant other's employer
*
Describe your current residence
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House in the city
House in the suburbs
House in the county
Townhouse/condo
Apartment
Other, please describe
If "other" to the item above, please explain:
Do you own or rent?
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Own
Rent
If renting, please describe any conditions/restrictions for owning pets.
How long have you lived at your current residence?
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Do you have any plans to move in the near future?
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Do you have a fence or enclosing of all four sides of your yard?
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Yes
No
I have an underground/electric fence
If yes, describe the height and type of fence OR if no, where do you plan to exercise the dog?
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If no, are you willing to explore the possibility of fencing?
Yes
No
How many people currently reside full/part time in your home - please include ages of each.
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Does anyone under the age of 18 live in your home full-time?
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Yes
No
Does anyone in your home suffer from animal-related allergies?
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Yes
No
Does anyone in your home have a disability we should be mindful of?
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Yes
No
If yes, please explain.
What are the requirements for animal ownership in your community (licenses, limits, leash laws, etc.)?
*
Please list species/breed/age of all other pets currently living in your home. For example: cat/tabby/8 years
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Are all your pets spayed/neutered?
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Yes
No
Are all your pets current on vaccinations and heartworm preventative?
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Yes
No
Have you previously owned a dog?
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Yes
No
If yes, what breed was the dog and how long did you have it?
If yes, what became of this dog? How old was it when it died and from what cause? If lost, stolen, or given away, please explain.
Why do you feel you would like to acquire a dog at this time?
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Where would the dog live?
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Inside
Outside
If "outside" to the item above, please explain:
Where (in a crate, loose in house, if other please explain) and for how long would the dog be left at home alone?
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Who in the family will be the primary caregiver for the dog?
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Are your family members supportive of you adopting a dog?
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Yes
No
If "no" to the item above, please explain.
How do you plan to provide sufficient exercise for this dog?
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Have you ever obedience trained a dog?
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Yes
No
Have you ever attended formal obedience classes? (copy)
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Yes
No
Third Choice
What are your views on obedience training?
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What is your definition of disciplining a dog?
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If a dog makes a mistake, how will you correct it?
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How much do you think it will cost to feed a dog?
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How much do you think veterinary care would be?
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Who is your family veterinarian?
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What other expenses would you expect to pay?
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What circumstances do you think might prevent you from keeping the dog
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What would you do if you were unable to keep the dog?
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Why do you feel the Boxer would be the right breed for you?
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Why do you feel that a rescue Boxer would be the right choice for you?
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Why do you feel that you would be the right choice for a rescue Boxer?
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Have you contacted any other Boxer Rescue groups? Please list:
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