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Are you over 21 yrs of age *
Is Spouse over 21 yrs of age *
Type of Residence
Do you have a fenced back yard
Type of Fence
Condition of Fence
If Renting, are dogs allowed
Are you planing on having any children in the future
What will your newly adopted pet's living situation be like when you are not home
How will you exercise your dog
What do you consider reasonable routine vet expenses per year
Are your current pets on heartworm preventative
Are your pets current on vaccines
Are your pets spayed or neutered
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