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Format: (000) 000-0000.
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- Please choose all dog sizes that would be considered when adopting*
- Please select all genders considered*
- Please choose all ages considered when adopting*
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- Is it ok for us to contact your vet?*
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- Do you own or rent your home?*
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- Do you have a yard?*
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- Have you ever surrendered or rehomed a pet you own to any animal shelter including a "low" or "no kill" shelter or to another person?*
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- Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?*
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- Date*
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- Would you like to sign up for our email newsletter??*
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- Should be Empty: