Applicant Information

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

Your Signature:
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