Applications for dogs Dog Application Name of dog you are interested inName* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country PhoneEmail* Type of residence*HouseCondoApartmentMobile HomeDuplexDormitoryOtherDo you*OwnRentLive with familyotherRenters: Please provide your landlord's contact information, we do call the landlord.How many adults live in this address listed above?1-23-56 or moreHow many children live in this address listed above?*01-34 or moreAges of the children in this household?Are all memebers of your household in agreement about adoptng a dog?YesNoDo any members of your househld have asthma, or allergies to dogs?YesNoIf yes, please call or come into the store and speak with usPlease describe the kind of dog you are interested in adopting, more than one is ok. Conpanion for me/my family Companion for my other pet(s) Gift for someone Preferred Age? Check all that apply. 2 months to 4 months 5 months to 1 year 1 year to 3 years 3 years to 6 years 6 years to 9 years 9 years or older Open to any age Preffered coat length Short Medium Long Any Hairless Preddered SexMaleFemaleEitherPreferred Breed?Preferred temperament, more than is ok. Out going Confident Independent Playful Energetic Affectionate Likes cats Shy Very much like to run Are you able to commit to providing a home for a dog for the next 10 years?YesNoIf you move, are you willing to take the dog with you?YesNoPlease share any bad dog habits that you cannot tolerate?*Where will the dog be durning the day?Dogs have been known to potty in the house, bark, chew on items, scratch on doors, dig up plants, etc. How do you plan to deal with these potential problems?*Where will the dog sleep?*Are you aware that some dogs require a period of weeks to adjust to their new home/enviroment/family/other pets?YesNoAre you willing to allow for this adjustment period?YesNo, prefer a dog who will adjustIf you have a dog, does it get along with other dogs?YesNoUnknownIs your yard fenced?*YesNoDo you have livestock (Chickens, cows, horses etc.)?YesNoWho is your current Veterinarian? Please include phone number and name of clinic.*Please list the current pets in the house and appox. age of each.Clicking sumbit certifies the below information.1. all information I have provided is true and correct. 2. I understand and agree to a home visit as required for every pet adoption from TOR. 3. I give permission for an TOR representative to contact my veterinarian and/or landlord as deemed necessary by TOR. 4. I understand that TOR has the right to deny any application.UntitledPhoneThis field is for validation purposes and should be left unchanged.
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