| First and Last Name: |
|
| Email Address: |
|
| Are you over 18? |
|
| What is your telephone number? |
|
| Work number if you have one. |
|
| Is there a particular ARNNE pet that you are
interested in? Please indicate pets name and/or breed |
|
| How did you learn about ARNNE? |
|
| Complete Home Address
(street/city/state/zip) |
|
| Type of housing you live in |
Own Single Family
Dwelling
Own Condo Own Mobile Home Rent Live with parent Other
|
| If "other" is checked, please explain. |
|
| If renting, Landlords Name and Telephone
Number. |
|
| Previous Address if current address is under 2
years. |
|
| Please list all members of your household whether
they are relatives or not. (name, relationship, age if under 18)
|
|
| Does your home have a yard? |
No Yes, no
fence Yes, Completely
Fenced In Yes, Partially
Fenced In Yes,
Underground Fence Yes,
Probably install a fence in the future
|
| List the type of pets you have owned, how many
years you owned them and reason you no longer own them. |
|
| Do you have any pets currently? List type, breed,
age, sex and how long you've had this pet |
|
| Has any pet(s) of yours ever been lost? Poisoned?
Killed be a vehicle or accident? Stolen? Please provide details
|
|
| Name of your Vet or prior Vet |
|
| Telephone Number of your Vet |
|
| What name is the pet under at your Vets
office? |
|
| Why do you want to bring a new pet into your
home? |
|
| Please provide the name and contact information of
people who are able to discuss your pet-owning abilities. Please list 3
references(name/relationship/phone number/email address) |
|
| Is everyone in your household in agreement on
adopting a pet? |
|
| Where will this pet spend most of its
time? |
Inside and Crated Inside and Free Outside Other
|
| If other was chosen, please explain. |
|
| Is anyone home during the day? |
No Yes Sometimes
|
| Is there anyone home during the night? |
No
Yes
Sometimes
|
| What provisions will be made for your pet when no
one is home? |
|
| What provisions will be made when you go on
vacation? |
|
| Are you willing to provide training for your pet
(obedience, housetraining) |
No
Yes Need more
informantion to decide
|
| Do you know of a trainer or place that provides
training in your area? |
No,
please provide me with that information Yes
|
| If yes was chosen above, please indicate your
trainer's name or place that can provide training. |
|
| Are you planning on particular activities with your
pet? Please explain. |
|
| How will you provide exercise for your pet? |
Leash walking or running
Arial runner
Fenced yard
Free roam
Other
|
| If other was chosen, please explain. |
|
| If you are adopting a dog, will this dog be used as
a guard dog? |
No
Yes
|
| Have you considered the yearly cost of owning a
pet? |
No
Yes Would
like more information on pet costs
|
| Under what circumstances would you give up your
pet? |
|
| Do you have any questions or comments? |
No Yes
|
| If yes was chosen, please indicate your question(s)
or comment(s) here. |
|
|
|