If you experience any problems with the form below, please download the form below and send it to us.
Application Form
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Personal Information
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First
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Last
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Address
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City
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State
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Zip
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Cross Streets
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Phone
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Cell
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e-Mail
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Pet Interest and Information
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Name(s) of dogs you are interested in:
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Will your dog be:
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Have you adopted from Mini Mighty Mutts Rescue before?
If yes, please list names of dogs:
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Have you had pets before?
If yes, please list what types:
What happened to them:
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How many animals do you currently have?
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Do you have a veterinarian?
Enter Hospital Name:
Enter Phone Number:
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Do you agree to a home visit by Mini Mighty Mutts?
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About Your Home and Family
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About your home and family:
We
Does your landlord allow dogs?
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We live in a
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Does your residence have a dog door?
If not, will you be installing one?
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Is your yard fenced?
If so, what type of fence?
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Does your home have a pool?
If yes, is there a fence enclosing your pool?
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Where will your new dog be kept during the day while you are away?
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Where will your new dog be kept at night?
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Our family's activity level is:
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When you are out of town, what do you plan to do with your dog?
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If you move, what would you do with your dog?
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How much do you expect, or are you willing to spend on medical expenses per year
for your dog?
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How did you learn about us?
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Your Signature:
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Please enter code above
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