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Email:
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Name:
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Address:
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City:
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(If
not in Texas, please click
here
to find a program in your area)
State:
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Zip:
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Telephone
(Home):
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Telephone
(Business):
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Individuals
in Household:
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For
children under five, please give ages.
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Is
your yard fenced?
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Yes
No |
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If
yes, please give height and type of fencing:
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Have
you ever owned a Bearded Collie?
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Yes
No |
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Other
Breed?
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Yes
No |
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Are
there dogs currently in your household?
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Yes
No |
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If
"yes"
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| Are the pets above
spayed or neutered? |
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| Other pets in
household? |
Yes
No |
If
yes, please describe:
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| Have you a strong
preference for either a male or female Beardie? |
Yes
No |
If
so, please indicated and explain why:
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| Is someone home
during the day? |
Yes
No |
| If family members
are either working or in school, how many hours a day would the Beardie
be alone in the house? |
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Are you familiar
with crate training/use of a dog crate?
(Beardies should never, ever be left alone outside if no family member
is home and watching!) |
Yes
No |
| Have you had an
opportunity to "research" the Beardie: Temperament, characteristics,
personality, specific health needs, grooming, cautions, etc.? |
Yes
No |
Please
describe:
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| If necessary,
are you willing to travel a reasonable distance to get a Rescue Beardie?
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Yes
No |
| What would you
consider a reasonable distance (by car, of course)? |
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| The usual donation
to the Rescue Program for an adopted Beardie is $100. Is this suggested
donation agreeable to you? |
Yes
No |
If
there is other information about you and/or your family that would help
us select a "good match" for you, please describe below:
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