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PRE-ADOPTION QUESTIONAIRE City of Jerome Animal Shelter 815 Ironwood St N Jerome, ID 83338 (208)324-8436 LIKE US ON FACEBOOK @ Jerome Shelter ALL APPLICATIONS MUST MEET ADOPTION GUIDELINES. WE RESERVE THE RIGHT TO DENY ANY APPLICATION FOR ANY REASON. ALL DOGS WILL BE SPAYED AND NEUTERED BEFORE LEAVING THE SHELTER FACILITY. Date of Application: Name of Applicant: Street Address: Applicant Phone: Dog name: Age: City/Zip: Type of home in which you reside? o Apartment o Duplex o Mobile Home o House Do you rent or own? o Rent o Own Do you have a fenced yard? o Yes o No o Fully Enclosed o Partially Enclosed Type of fencing? o Wood o Chain link o Vinyl o Other: How long have you lived at this address? Please mark all that apply to the type of dog you are looking for. Age: o Puppy (8 weeks) o Young (2 to 9 months) o Adult (1 to 7 years) o Senior years) Energy Level: o Highly active o Moderately active o Couch potato Trainability: o Already trained o Some training but can learn more o No training, I want to train ---PAGE BREAK--- Who are you adopting this pet for? o Myself o Family o Gift o Other: Who will be responsible for the overall welfare of the dog? My adopted dog will go on/be? Mark all that apply o Walks o Camping o Car rides o Movie night o Parks o Yard play o Agility o Emotional support o Guard dog o Family trips o Stay at home o Go on trips o Go to boarding o Groomed by a professional o Groomed at home o Watched by Family o Mostly Inside o Mostly outside o Off leash o On leash o Be trained by me o Be trained by a professional o Trained with Youtube o Not have training o Sleep inside o Sleep on my bed o Sleep somewhere warm o Sleep outside When at work the dog will be? o Be outside o Be inside o Other: The dog will be alone for? o 0 to2 hours o 3 to 8 hours o 10+ hours Do you have a regular Veterinarian? o Yes o No Please list your current pets: Type Breed Age Sex Indoor/Outdoor Spayed/Neutered References *optional*