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- Date*
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- Are you 18 or older?
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- I / We live in a*
- Do you rent?*
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- Does your insurance company have any restrictions for dog breeds?*
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- Have you ever been convicted of a felony?*
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- Have you ever been convicted of animal abuse or neglect?*
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- Where will the pet stay when you are not home?*
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- Do you have a fenced in yard?*
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- Are you willing to install a fence?*
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- Are you willing to have a representative of the rescue come to your home to perform a home check?*
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- Date*
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- Should be Empty: