| Details |
| Your Name: |
|
| Phone No. |
|
| Mobile No. |
|
| Address: |
|
| E-mail Address: |
|
| How did you hear about the Animal Kingdom Foundation,
Inc.? |
Others:
|
| Have you ever contacted the Animal Kingdom Foundation,
Inc. before? |
|
| Is this dog for you and your family? |
|
| How many people are in the household? |
|
| Please list the ages of any children. |
Child 1
Child 2
Child 3
|
| What is your motivation for getting a pet at this
time? |
|
| What is your present occupation? |
|
| Please name the dog(s) on the web site that caught
your eye. |
|
| If you travel, who looks after your pets when you
are gone? |
|
| Please include veterinarian/clinic name along with
city and/or phone number. |
|
| Do you live in a house, apartment, townhouse, mobile
home? |
|
| Do you own or rent your residence? |
|
| How long have you been at this address? |
years |
| Do you have a fenced-in yard (i.e. chain link, electric,
kennel area, how high)? |
|
| How will your dog be exercised? |
|
| How many hours during the average work day will
the dog be left alone? |
hours |
| Where will the dog be housed? |
|
| Would you still be able to care for this dog if
your home or family situation changed (relocation,
etc.)? |
|
What best describes the primary pet caregiver? (Check
all that apply)
|
|
| Any Additional Comments: |
|
| |
|
