Dawgs In Prison - Application

Name

Day Phone

Evening Phone

Street Address

City

State

Zip

Occupation

Spouse's Occupation

eMail

Lifestyle
Active
Moderately Active
Somewhat Active
Not Active

Are you;
Single
Married
Live with parents
Couple, not married
Military

Have you ever owned a dog?
Yes
No

If so, do you still have the dog.
Yes
No
n/a

If you had a dog, but do not have it now, what happened to it?

From whom did you get your dog?

How do you prevent fleas, ticks, and heartworms?

Which dog(s) are you interested in?

For what reason(s) would you consider giving up your dog?

Have you, or any immediate family member, ever surrendered a dog to a rescue group, humane society, or animal shelter. If so, please explain the circumstances.

Veterinary reference;

Do you have a fenced yard? Please describe.

How will you exercise your dog?

Do you plan to continue training your dog?

Where will the dog be kept when you are away from home?

Do you plan to crate your dog?

Will you purchase flea/tick and monthly hearworm prevention?

When will you be ready to take possession of your pet?

Will you consent to having a home visit?