| Details |
| Your Name: |
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| Phone No. |
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| Mobile No. |
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| Address: |
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| City: |
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| E-mail Address: |
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| Would you like to receive Animal Kingdom Foundation, Inc.
newsletter, e-AKFNews? |
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| How did you hear about the Animal Kingdom Foundation,
Inc.? |
Others:
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| Have you ever contacted the Animal Kingdom Foundation,
Inc. before? |
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| Is this dog for you and your family? |
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| How many people are in the household? |
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| Please list the ages of any children. |
Child 1
Child 2
Child 3
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| What is your motivation for getting a pet at this time?
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| If you have surrendered a pet to an animal shelter or
rescue, please tell us why. |
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| What is your present occupation? |
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| Please name the dog(s) on the web site that caught your
eye. |
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| What other pets do you have? |
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| Please describe, listing the ages and whether or not they
are spayed/neutered. |
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| If you travel, who looks after your pets when you are
gone? |
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| What veterinarian/clinic do you use? |
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| Please include veterinarian/clinic name along with city
and/or phone number. |
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| Do we have your permission to talk with your vet if we
need to? |
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| Do you live in a house, apartment, townhouse, mobile home?
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| Do you own or rent your residence? |
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| 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)? |
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| How will your dog be exercised? |
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| Will the dog be restricted to a certain area? If yes,
please describe the area. |
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| How many hours during the average work day will the dog
be left alone? |
hours |
| Where will the dog be housed? |
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| Do you collar and tag your pets? |
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| Would you still be able to care for this dog if your home
or family situation changed (relocation, etc.)? |
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What best describes the primary pet caregiver? (Check
all that apply)
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| Are you prepared for a 10-15 year commitment to a dog?
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| Any Additional Comments: |
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