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 RCAR, Inc - Dog Application Form

Dog's Name:

Your Information

Last Name      
First Name      
Address      

City

     
State Zip code  
Phone      
Cell Phone      
Home Email      

Family Information

If you have children that will be in contact with this dog please describe how they might interact with the dog and please include a list of children’s ages.

How many children?  
Their Ages  
How will they interact with the dog?  

Your Veterinarian Information

Name    
City State
Phone:    

Your Farrier

Name    
City State
Phone:    

Character References Outside of Family:

Name    
City State
Phone:    

Information About Your Home

1. Size of Yard
2. Fencing
3. Dog House/Shelter or Allowed Inside?

Information About Other Pets in Your Home

Will this adopted dog be kept with other pets?
What kind of pets and how many?
Explain where they are kept

 

Please tell us more about your experience and intentions or purpose for the adopted dog.

 

Would you like to add any more information for consideration?

 

 

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