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WI Bichon Frise Rescue - Adoption Application

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*To return this form, you may send it back via mail: WI Bichon Frise Rescue, 15562 CountyShop Rd., Darlington, WI 53530; E-MAIL to: (wibichon@yahoo.com

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or FAX it to: 608-776-4422.*Look for a confirmation that your application has been received.Date:Applicant's full name:

age: Applicant's occupation & place of employment: Applicant's Work Hours Co-applicant's full name:age: Co-applicant's occupation & place of employment:Co-applicant's Work Hours List ALL other people living at this residence, relationship, & ages:

Will you likely be having children yourself or frequently visiting young grandchildrenduring the lifetime of this dog? E-mail address:Complete address of your home (street #, street, apt #, city, zip)

Phone numbers that you would like us to use: Describe your home & indicate if it is- rural/subdivision/end of street/etc.How long have you lived at this address:Do you rent or own: Do you have a completely fenced area on your property? (If so, please describe it - including height & material): Briefly tell about your weekly activities other than work:

What experience do you have with a Bichon?What age & sex of Bichon will you consider?

Name of specific Bichon you are interested in.

Can anyone consistently come home during the daytime or is there a reliable person available whocan let your dog out to potty mid day, if the Bichon that you adopt needs this?What are your feelings on adopting a dog that turns out not to be perfectly housebroken?

Would you be willing to adopt a Bichon that needs to wear a belly band all of their life whenthey are unattended or in places where they could mark their territory inside?

How will you address the dog's bathroom need? (e.g. tie out, fenced yard, leash walk)What non-carpeted areas do you have in your home?

Where will your dog be kept during the day?

Please be specific:

Where will the dog sleep at night?

Will the dog ever be crated? If so, when?

Who will care for the dog while you are away or on vacation, etc?

What dogs have you owned before, as an Adult?

If they are no longer with you, please provide a brief explanation of what happened:

Have you ever given an animal to another person, rescue or shelter?If yes, please explain circumstances:

PleaseLIST ANY PETSthat currently live inside/outside of the house

. Include name, breed,sex, age, and whether they are neutered or not:

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