PetConnect Rescue Senior Dog Adoption Application

* YES
NO
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* YES
NO
* YES
NO
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* Own
Rent
* No Fence
Chain Link Fence
Wood Fence
Invisible Fence
Doggy Door
Other - Please describe Below
* YES
NO
* YES
NO
YES
NO
* YES
NO
* YES
NO
Not Currently (no animals in my home)
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* YES
NO
* YES
NO
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