Canine Angels Career Change Dog

Canine Angels Career Change Dog
Canine Angels Service Teams

13475 N. Applegate Rd.Grants Pass, OR. 97527888 K9 ANGLS or 541 846-6400www.Canine-Angels.org email: info@Canine-Angels.org
Name

First Name Last Name

Address

Email
example@example.com
Phone Number

- Area Code Phone Number
Is there anyone in your household with special needs?
Do you own or rent your home?

Own Rent
If you rent, do you have your landlord's permission to have a dog?

Yes No
Landlord's Name

First Name Last Name
Landlord's phone

- Area Code Phone Number
Your occupation
Spouse or partner's occupation
Is someone home most of the day?

Yes No
Where will the dog go when you're not home?
Will you be leaving the dog alone a lot?

Yes No
What is your dog experience? (breeds of dogs you have previously owned, obedience classes taken, etc)
Please list names and relationship of all people living in your home and ages of minors:
Please list all household pets and livestock, including species and ages:
Vet's Name

First Name Last Name
Vet's Phone

- Area Code Phone Number
Do you have a breed preference?

Yes, I prefer the below selected breed, but I will take any dog that is a good fit for my family Yes, I will only take a specific breed, see below No
I prefer the following breed:

Golden retriever Labrador Lab/Golden X Poodle Goldendoodle American Indian Dog
Do you have a color preference?
Do you have an age preference?
Do you have a gender preference?
Are you prepared to take a dog now?

Yes No
Approximate ready date:
Is there anything else you'd like us to know?
Should be Empty:

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Canine Angels Service Teams