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<br />.. <br /> <br />';;~ess: Hounds:' <br />'fI1.lJ!.I!;,"1 _ _.... . . _. _ . . ..... ~. <br /> <br />Mil/It ~~ CJ!J!n.l}ft~;rnflll({QI1JrRh <br />. l~~1J 1J~t/J;~KBl <br />Hrinf;,-~tt:!.lJi M.fII ~3;*,11 <br />Z~~1~~~!~ <br /> <br />Too Much of a Good Thing <br />Spay and Neuter Your Pets <br /> <br />Date~J <br /> <br /> <br />Name (a:.l' 5" Breed~;+Z-- <br />Coat !!/;.t /L I- U.JI.r!;r <br /> <br />ADOPTION FORM <br /> <br />Sex in <br />Tail t! 1/ <br /> <br />Mrered~ ~e~ <br />. .) . <br />. Housebroke. . <br /> <br />Good wi children <br /> <br />Good wi other animalS 1/ <br />. / <br /> <br />. Dog Food Currentl'] Eating (i,"".'J...l r:,f ..)..j- r'hC:f~j <br />~ . <br /> <br />Vaccination Record; <br /> <br />(Progard S)dates 9 Al~7 <br /> <br />. .c6/7 <br />Intra-Trac III Bordetella dates 7 "':l/ v . <br />/ . <br /> <br />Rabies <br /> <br />Tag # <br /> <br />Clinic IssueQ <br /> <br />An'] Other Vaccinations <br /> <br />De-wonninq Schedule: <br /> <br />Nemex (pyrantet pamoate) <br /> <br />~/.3rj7 <br /> <br />Ivermectin <br /> <br />FeiIl:>endazole <br /> <br />Any Other Medications <br /> <br />. .' <br /> <br />Comments <br /> <br />AE-plication Profile <br /> <br />Purpose for adopting this animal' <br />Do 1300 have a fenced 13ard? {l./o If so please describe the tgpe and height <br />Approximately how maily hours a da'J will the dog be left alone inside? S 1 f!;.- Outside?-e- <br />Please desc>IDe 'JOU' housmg -. o",.w;. apt. condo. ".. etc.) '/tu"!J- hG~ <br />Do you own or rent? Ot(jrJ. If 'Jou rent, are pets allowed in '!Jour ren~l agreement? <br /> <br />,- <br /> <br />- <br /> <br />If you rent, name and phone number of LandIo~d <br /> <br />1 1 <br />