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Full Name:
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Email Address:
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Home Address:
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City:
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State:
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Zip Code:
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Home Phone:
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Tell Us about current pets in your home. (Breed, Sex, Age, Is the pet fixed, etc.)If NONE state NONE:
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Are your pets up to date on all vaccinations?:
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Yes
No
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I would like to adopt a dog for: (Check all that apply):
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Protection
Breeding Purposes
Kids
Companion
Gift
Guard Dog
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Number of Adults in Home:
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List the ages of any children in your home (or "None"):
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Which members of your family will feed/care for the dog?:
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Does anyone in your home have an allergy to dogs?:
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Yes
No
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How many hours a day will the dog be alone:
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I live in:
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House
Apartment
Condo
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I:
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Own
Rent
Lease
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Fence Height?:
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Fence Type?:
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During the day, the dog would be in the (e.g.. house, yard, garage)?:
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During the night the dog will sleep?:
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Are you willing to have a home check before adoption?:
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Yes
No
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Are you aware that the vet bills for routine care of a Great Pyr may cost between $100 and $500 or More per year?:
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Yes
No
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Name, address and phone number of current or last veterinarian?:
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Do you realize that Pyrs shed profusely (especially during the summer months), often drool or slobber, and can be prone to hip problems?:
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Yes
No
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Are you aware that when you adopt a Great Pyrenees, you are taking on the responsibility for its lifetime, which may be up to 14 years?:
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Yes
No
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Have you owned a Great Pyrenees before?:
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Yes
No
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If yes, what happened to the dog?:
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Sex Preferred?:
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Male
Female
No Preference
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Are you aware that we request an adoption fee for each adoption, to help cover expenses incurred in readying dogs for adoption?
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Yes
No
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Are you willing to pay?:
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Yes
No
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Are you willing to pick a dog up directly from a shelter?:
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Yes
No
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Questions/Comments:
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