Please scan and email to Dreamscometruerescue@aol.com, or print and mail to Dreams Come True Rescue 945 Willow Brook Rd Plainfield NH 03781

Name:     _____________________                             Date: ________________

 

Address: _____________________          Interested in Dog/Puppy named: ___________________________

 

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Phone:     _____________________          Email:      ______________________

 

Name Of Vet: _________________

 

Own or Rent:  _________________

 

Place of Employment:

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Proof of homeownership must be shown re: tax or mortgage statement prior to adoption. If renting proof of pet allowance must be provided from land lord prior to adoption.

 

Please provide a description of prior pets, and disposition.

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Have you ever surrendered a pet, and if so for what reason?

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Please list family members and ages living in home.

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Any allergies to pets known of family members?

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Are you willing to supply a reference from your Veterinarian?

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How long would animal be alone in the home?

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Is yard fenced?

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Are you willing to have a home-check done?

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Please list two personal references with contact information:

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