Litter NameFull Name*Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone Number*Email* Are you aware of and prepared to assume the financial and physical responsibilities of caring for this animal?* Yes No Including but not limited to: vaccinations, regular veterinary care and check-ups, appropriate quality food, time and attention. Is everyone in the household agreeable to adopting this animal?* Yes No Have you had any pets before?* Yes No What happened to your previous pet(s)?*Do you currently have any pets?* Yes No What are they?*Describe your current pets.Are you aware of the need and prepared to introduce the animals gradually?* Yes No What will you do if they do not get along?*What preparations have you made for the animal?*For example, where will it sleep, what foods have you bought, etc.What type of property do you live in?*Do you have children at home?* Yes No Who will be the primary caregiver of the animal?*Will there be someone at home during the day?* Yes No How many hours will the animal be left alone each day?*Are you planning to move in the near future?* Yes No Are you prepared to bring the animal with you?* Yes No What will you do if someone in the family develops an allergy?*Why are you adopting a dog?*Are you prepared to train the dog?* Yes No Is your home suitably prepared for the dog (fencing adequate, etc)?* Yes No Are you aware of the average life-span of a dog (10-15 years) and are you prepared to give it a home for the rest of its life?* Yes No