Name:
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| Email: |
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Telephone Number(s):
(Please label: Home, Work,
Cell, etc.) |
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| Home Address: |
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| Mailing Address (If Different): |
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| How many hours a day will the dog(s) be home
alone? |
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| Veterinarian's Name, Address and Telephone
Number: (If you don't have a veterinarian currently, then say so, or
give any explanation you would like) |
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| Name and Phone Number of Additional Contact
Person(s): (outside of your residency in case I can't get hold of you
when needed) |
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Name and ages of each person
who will live with the
BDH dog(s): |
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| Describe the area you live in (neighborhood,
country, city, etc). Do you have permission from your landlord or
Homeowners Assoc. to have a dog? |
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Do you have a fenced yard?
If so, please describe
it. |
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| Please feel free to ask any questions here. We will
contact you with answers and to ask anything else we might need to
know. |
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