Please enter your full name.
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Please enter your residential address.
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Enter your city and state.
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Please enter a contact number where you can be reached.
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Enter your ID type (e.g., Driver's License) and number.
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Dog Preference
Select your preferred dog type(s).
Gender Preference
What is your gender preference?
Age Preference
Select your age preference for dogs.
How many adults live in your household?
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List the number of children and their ages.
Do all members of the household agree with adopting a dog?
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Do any household members have allergies to dogs? Please explain.
List your current pets including type, breed, age, and vaccination/spay/neuter status.
Housing Situation
Please describe your housing situation.
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Describe your home type (e.g., apartment, house).
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Is there a fenced yard? Please confirm.
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Do you have permission from your landlord to have a dog?
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Who will care for the dog during your absence?
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How many hours will the dog be left alone during the day?
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Outline your plan for the dog's exercise needs.
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Do you have previous experience with bulldogs or pitbulls? Please explain.
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How would you handle behavioral issues?
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Explain your financial readiness to care for a dog.
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List two non-family references with phone numbers.
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I hereby confirm that all information provided is truthful. I acknowledge that adoption approval is not guaranteed, and I consent to a home visit.
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