| NAME:___________________________ | DATE:____________________________ |
| ADDRESS:________________________ | I am interested in: (circle) |
| __________________________________ | Male - Female |
| PHONE: Days__________Eve________ |
1. Have you ever owned a Newfoundland dog before?
2. Have you ever owned any other giant breed dog?
3. What pets do you own now?________________________Are they spayed/neutered?
4. Why do you want to own a Newfoundland dog?
5. How many children in the household?_____(ages)_____________
6. If you rent will the landlord permit a giant dog added to your household?
7. Would you be interested in a Newfoundland Mix?
8. Please list any additional comments or questions you may have.
9. A refundable deposit of $100 may be required for an unspayed/unneutered rescue.
10. I have read the attached "Don't Buy a Newfoundland" article and the adoption agreement form.
It is our goal to find the right home for all of our rescued Newfoundlands. By filling out this form we will be able to match you up with the right dog for you and your family.
We request that you notify the Rescue Committee Representative if you obtain another dog before we have one available for adoption. Your name can then be removed from the waiting list. Thanks for the opportunity to help you find a suitable Newfoundland Dog and for being interested in providing a permanent and loving home for one of our rescued ones.
______________________________
Rescue Committee Representative
______________________________
Club Message Phone: 907-929-0619
http://home.gci.net/~bigdogs
Mail the completed form to:
Last Frontier Newfoundland Club
5432 E. Northern Lts. #504
Anchorage, Alaska 99508-4713