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United Animal Friends (UAF) is dedicated to matching each dog in our care with the most compatible home. Submission of this questionnaire does not obligate you to adopt, nor does it guarantee that you will be selected to adopt. Incomplete applications will not be considered. United Animal Friends will conduct a search of public records on all applicants, including a criminal database check. By submitting this application, you give United Animal Friends express authorization to contact your veterinarian and landlord, if applicable, and you agree to a home visit conducted by a qualified United Animal Friends volunteer.

Dog(s) Of Interest
Someone already caught your eye? If so, please specify: (*)
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Family Information
No. of adults in household
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No. of children in household / Ages of children (*)
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Full name(s) & date(s) of birth of all adults in home
Last Name (Adult #1) (*)
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First Name (Adult #1) (*)
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Date Of Birth (Adult #1) (*)
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Last Name (Adult #2)
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First Name (Adult #2)
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Date Of Birth (Adult #2)
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If additional adults in household, please add to comment section at end of this form
Home Phone (*)
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Cell Phone
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Work Phone
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Email (Adult #1) (*)
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Email (Adult #2)
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Residence Information
Address (*)
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City (*)
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State (*)
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Zip Code (*)
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Mailing Address (If different)
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Residence Type (*)
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Do you own or rent your home? (*)
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How long at present address?
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Plan to move in near future?
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Does your community restrict the number, breed or size of pets?
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If yes, please describe
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Do you have a fenced yard?
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Type Of Fencing Material
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Height of Fence / Approx. Size of Fenced Area
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Does your home have a pool?
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Is your pool fenced?
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Required If You Rent: Landlord's Name & Phone Number
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Preferred Age:
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Gender
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Coat Length
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Size:
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Primary Breeds
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Color or Other Characteristics
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What Activity Level Do You Want Your New Dog To Have?
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In which activities do you want your new dog to participate with you/your family? (Check all that apply)
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Who will be responsible for the care of the dog?
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What brand of dog food will the dog be fed?
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How often will the dog be fed?
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Where will the dog stay during the day?
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Where will the dog stay at night?
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Where will the dog stay during vacations?
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How many hours per day will your dog be unattended?
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Are you familiar with crate training?
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Will you crate train?
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Please check the reason(s) why you want to adopt a pet at this point in your life.
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Do you currently have a dog or dogs? (*)
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If yes, how many?
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If yes, describe breed, sex, approximate weight and temperament
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Dog Age(s)?
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Do you currently have a cat or cats? (*)
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If yes, describe breed, sex, approximate weight and temperament
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Cat Age(s)?
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Is your pet(s) spayed/neutered?
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Up to date on vaccinations?
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Do you have a veterinarian?
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Vet's Name and Phone Number
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What animals have you had in the past?
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What would cause you to return this dog? (check all that apply)
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Have you ever adopted a pet from United Animal Friends? (*)
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Have you ever adopted a pet from another rescue group or shelter?
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Do you have a plan in place for this dog should you become unable to care for it?
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How did you hear about UAF? (*)
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Acknowledgement and Agreement I understand that United Animal Friends will conduct a search of public records on all applicants, including a criminal database check. By submitting this application, I give United Animal Friends express authorization to contact my veterinarian and landlord, if applicable. I agree to a home visit conducted by a qualified United Animal Friends volunteer.
I understand that submission of this questionnaire does not obligate me to adopt, nor does it guarantee that I will be selected to adopt, and that the decisions of the application review board are final.
I understand that submission of this questionnaire does not obligate me to adopt, nor does it guarantee that I will be selected to adopt.
Comments
I certify that the information supplied in this interview is true and correct. Checking this box signifies your signature. (*)
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Required Fields(*)
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