Which Dog are you interested in?*
	First, Last Name:*
	Address:*
	Phone:*
	Email Address:*
	Do you live in a:* HOUSE I OWN HOUSE I RENT CONDO I OWN CONDO I RENT APARTMENT OTHER
	(IF RENTING) Landlords Name and Telephone Number:
	Do you have children under 10 year's old living with you?* NO YES YES, BUT NOT LIVING WITH ME NO, BUT PLAN TO HAVE CHILDREN
	Do you currently own any animals? Please write the type of animal, age, and if they are spayed/neutered:*
	Would you allow a home visit by Enlightened Canines! Rescue?* YES NO
	Where will your newly adopted dog spend most of their time at?* Indoors/Outdoors Indoor/Crated or limited freedom Indoors/Free roam Outdoors/Yard Only Garage Basement Dog Run Other
	Dogs left alone frequently dig, chew and bark. How will you deal with these potential problems? How would you correct a dog that has disobeyed?*
	What type of fencing do you have? What is the height?
	Under what circumstances would you not keep this dog?* MOVING NEW BABY NEW JOB DIVORCE ILLNESS FINANCIAL ISSUES TRAINING ISSUES BEHAVIORAL ISSUES NONE OTHER
	Please explain why you want this dog and why you feel you would be the best match for them:*

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