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Idaho Domestic Animal Welfare Group
P.O. Box 1002, Nampa, Idaho 83653
ADOPTION APPLICATION
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Indicates required field
Today's Date
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Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Cell Phone Number
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Work Phone Number
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Home Phone Number
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Names and relations of other adults in household
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Ages of children in household
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Do you have other pets?
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Yes
No
If so, names, types, ages, and sex.
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Are other dogs in household spayed/neutered?
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Yes
No
Some are
No other dogs in household
Current Veterinarian
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First
Last
Veterinarian's Phone Number
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Reference #1 Name (can not be a relative)
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First
Last
Reference #1 Phone Number
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Reference #1 Email
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Reference #2 Name (can not be a relative)
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First
Last
Reference #2 Phone Number
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Reference #2 Email
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Do you own or rent?
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Own
Rent
Neither
If you rent, please provide landlord's name and phone number. If you do not own or rent, please explain your living situation.
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What kind of dwelling do you live in? Please describe it. (house, apartment, condo, townhouse, etc.)
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If accepted, where do you plan to keep the dog?
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Inside
Outside
Both
Please describe your yard and fence below. Include size of yard and type of fence (material and height).
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What type of shelter would the dog have outside?
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How many hours a day would the dog be alone?
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Please describe the routines of adults in household.
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Where would the dog sleep at night?
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Other than your current pets listed above, have you previously owned a dog?
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Yes
No
If yes, what happened to the dog(s)?
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Briefly explain why you would like to adopt a dog.
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Do you have a breed, age, or sex preference?
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Is there a particular dog you are interested in?
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Feel free to add any other pertinent or beneficial information that will help us determine if this dog is right for you.
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