| Date: |
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| Please check your preferences: |
Male or
Female or
Either |
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Age
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Preferred Temperment: |
Active
Quiet
Protective
Gentle |
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Other - If Other Please Specify:
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Name of dog you would like to adopt:
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Thanks for your interest in our Akitas. For more information please
call 281-635-2964 or 281-448-8240. All Lone Star Akita Club of
Houston Rescue Akitas are spayed/neutred prior to adoption. To
adopt a dog, a person must be:
1) A responsible adult with a suitable
home.
2) Have current identification
showing address, phone number and driver's license.
3) Have the consent of all persons
living in the household.
4) Be able and willing to spend
the time/money necessary to provide training and veterinary care.
5) Willing to pay a $150 adoption
fee (donation) in cash, money order or by cachier's check.
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| Applicant's Name: |
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| Address: |
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| City, State, Zip |
,
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| Email: |
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| Occupation: |
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| Employer: |
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| Telephone: |
Home:
Cell:
Work:
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| Spouse Occupation: |
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| Spouse Employer: |
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| Do you live in a house or apt? |
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| Do you own or rent: |
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| Fence Information: |
Fense:
Type:
Height:
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If Other, Please Describe:
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| Do you have a kennel? |
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| People in Household: |
Adults:
Children:
Age of Children:
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| Will there be children around the dog? |
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| List Other Pets - Age/Sex: |
|
| List previous pets and what happened
to them |
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| :Veterinarian & Phone: |
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| List 2 References: |
Phone:
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| |
Phone:
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| Why do you want to adopt an akita? |
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| Where will your akita live and sleep? |
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Do you plan to attend obedience class?
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| If no to obedience, then why? |
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| How will you exercise your akita? |
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| How will you discipline your akita? |
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| Have you read any books on dog care and training? |
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| What steps will you ake to control fleas? |
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| What kind of vehicle will you transport your akita? |
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| Are you able and willing to pay for shots, heartworm
medication, food, equipment, toys, flea control and vet care when
the dog is sick? |
|
| LSAC likes to follow up on the welfare
of the rescues. Would you mind if we called or visited after the
adoption is final? |
|
| Please type in the name of the applicant to indicate
an official signature and verification that all information provided
is accurate and true. |
|
|
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Thank you for taking the time to fill out the application form.
If you prefer to mail it, we provide the application in PDF format.
Please click the link below to print the application and mail
it to the following address:
Lone Star Akita Club of Houston - Rescue
726 E. Creekside
Houston, TX 77024
| Application
for Adoption: |
|
| |
|
| Downlowd
Adobe Reader: |
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