Pet Ownership Where will this pet be kept? * Mostly inside Totally inside Mostly outside Totally out

Kranky, male 4 and 1/2 months old red nose pit bull puppy. Due to a divorce in the family Kranky was left at the shelter. He is receiving treatment for his skin and should be ready for adoption new mexico travel in about 4 weeks. Kranky has been at the HS since Sept 11th, 2012.
Animal new mexico travel Information Name of the dog I am applying for: * Vetrinarians Information I currently have a family veterinarian * Yes No My current veterinarians name: * My current veterinarian can be contacted at: * Street Address City State / Province / Region Zip / Postal new mexico travel Code Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas new mexico travel Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria new mexico travel Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic new mexico travel Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica C te d'Ivoire Croatia Cuba Cyprus Czech Republic new mexico travel Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia new mexico travel Germany Ghana Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon new mexico travel Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu new mexico travel Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, new mexico travel British Virgin Islands, U.S. Yemen Zambia Zimbabwe Country My current veterinarians telephone number: * Adopters Information Adopters Name: * First Last Adopters Address: * Street Address City State / Province / Region Zip / Postal Code Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan new mexico travel Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana new mexico travel Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica C te d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania new mexico travel Luxembourg Macedonia Madagascar new mexico travel Malawi new mexico travel Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United new mexico travel Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin new mexico travel Islands, British Virgin new mexico travel Islands, U.S. Yemen Zambia Zimbabwe Country Adopters Email Address * Adopters Phone: * Spouse/Partners Name: First Last Spouse/Partners Phone: Adopters Personal Reference Personal Reference Name: * First Last Personal Reference Address: * Street Address City State / Province / Region Zip / Postal Code Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh new mexico travel Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada new mexico travel Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica C te d'Ivoire Croatia Cuba Cyprus Czech Republic new mexico travel Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands new mexico travel New Zealand new mexico travel Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland new mexico travel Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname new mexico travel Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Country Personal Reference Phone: * Household Situation Which do you live in? * House Apartment Condominium new mexico travel Townhouse Do you rent or own? * Rent Own Does your landlord allow pets? Yes No Do you have a fenced yard? * Yes No What is the fence height? new mexico travel * select one that applies 3 feet 4 feet 5 feet 6 feet or higher Number of adults in household: * select one that applies 1 2 3 4 Number of children new mexico travel in household: * select one that applies 0 1 2 3 4 5 Age of child 1 * select one that applies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Age of child 2 * select one that applies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Age of child 3 * select one that applies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Age of child 4 * select one that applies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Age of child 5 * select one that applies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Do all of the adults in the household consent to the adoption? new mexico travel * Yes No
Pet Ownership Where will this pet be kept? * Mostly inside Totally inside Mostly outside Totally outside How long will this pet be left alone during the day? * select one that applies none 1-3 hours 3-6 hours 6-9 hours 9-11 hours 12 or more hours where will the pet be kept while you are away at work? Are you willing or able to enroll the pet in obedience class if recommended? * Yes No Are you willing or able to use a crate for the pet if needed or advised? * Yes No Are you willing to walk the pet if recommended? * Yes No You are adopting from a shelter, are you willing to work with the pet on house training? * Yes No Where will the pet sleep at night? * Who are you getting this pet for? * select one that applies Self As a gift Who is the pet a gift for? * What will you do with the pet if you have to move? * What will you do with the pet if you have to travel? * Does anyone have any concerns about adopting this pet? * Yes No Who? And what are the concerns? * How much would you be willing to spend at the veterinarian in the case of an emergency? * select one that applies $0 - $250 $250 - $500 $500 - $1000 $1000 - $1500 $1500 or more What plans have you made for your pets in case you pass away before they do? *
Pet Ownership new mexico travel History Have you ever adopted from a Humane Group or Shelter? * Yes No What Humane Group of Shelter did you adopt from? Humane Group or Shelters address: Street Address City State / Province / Region Zip / Postal Code Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain new mexico travel Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina new mexico travel Botswana Brazil Brunei Bulgaria new mexico travel Burkina Faso Burundi Cambodia new mexico travel Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica C te d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Domin