PO Box 821
Burgaw, NC 28425
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Meet The Trainers
About the Expo
Rescue Group Sponsor Information
Rescue Vendor Contract
Class F J
The Wizard of Oz
How To Help
Sponsored by Monty's Home
*Required Fields Must Be Completed
PART 1 - PERSONAL DATA
Applicant's Name *
City, State, and Zip *
Telephone Number *
Do you *
Fenced yard? *
If yes, what type of fence?
If no, how will the dog be exercised?
Where will the dog sleep? *
If yes, ages
Are you or anyone in the household allergic to animals?
Other pets *
Place of Employment
How long at present job?
If less than a year, please provide previous employer
Co applicant name and work hours
Veterinarian's name (for current or previous pets) *
Kennels or pet sitters used in the past
Have you ever attended obedience classes with a pet?
Are you a member of any dog-related clubs?
What happened to previous pets? *
Have any been surrendered or given away? *
PART 2 - DOG PREFERENCES
Dogs from Monty's Home Pawsitive Partners Prison Program are rescued from local animal shelters.
Although exact breed is unknown we do want to match the type of dog you prefer to one in our system by answering the following questions.
What breed of dog would you purchase if you were to buy a dog? 1.
If no specific breed: Size / Weight
Does not Matter
Energy level of your new pet would best be described as:
Marathon Runner/Pro Football Player/ Olympic Athlete
Hiker/Rock Climber/Cross Country Skier
White collar 9-5 office worker
Retired but active senior citizen
Lay on the couch all day lazy relative
What activities do you want to share with your new dog?
What training goals do you have for your new pet?
Are you interested in therapy dog training and certification?
To you, what is the ONE most important thing about your pet?
The least important?
Additional comments regarding preferences or concerns with your adoption:
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