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Salon De Pet Adoption Application
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Your Name
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Your Street Address
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City, State, Zip
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Do you rent or own your home? If rental-name/phone of landlord.
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Home Phone Number
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Cell Phone Number
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Employer Name
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Employer Phone Number
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Do you have children?
Yes
No
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If you have children, please list names and ages.
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Your Veterinarian's Name
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Clinic Address, City, State
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Veternarian's Phone Number
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Do you currently have any pets?
Yes
No
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Are you current pets licensed according to law?
Yes
No
Do not currently have pets
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Are your pets current on vaccinations?
Yes
No
Do not currently have pets
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Are you pets on Heartworm Prevention?
Yes
No
Do not currently have pets
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Can we contact your veterinarian?
Yes
No
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Name of pet you are interested in?
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Why do you want to adopt this animal?
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Please list all pets current/past, explain where they are if you do not have them anymore?
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Where will this pet be housed at?
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How long will animal be left alone?
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How will your new pet get exercise?
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Do you have a fenced in yard?
Yes
No
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If you do not have a fenced in yard, how will you protect your new pet?
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Will animal be crated?
Yes
No
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What are some reasons why you would return or not keep this animal?
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Please list 2 personal references, along with their phone numbers
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May we contact your references?
Yes
No
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There are many costs in having a pet, are you financially in a position to have a pet?
Yes
No
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Is everyone in your household in agreement about adopting a new pet? Please list any problems?
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I agree that I will not euthanize this animal without consulting SDP first?
Yes
No
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What is your position on animals being spayed/neutered?
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I will allow a representaive of SDP to inspect my home before adoption.
Yes
NO
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Where did you hear about us?
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Todays date-it will take 3-6 business days to process your application.
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Your email address
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Your signature-by typing below you agree that you are signing this application.
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Submit on line by clicking send below or by mailing to: Salon De Pet P.O. Box 1103 Holland, OH 43528
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