*First Name:
*Last Name:
*Address:
*City:
*State or Province:
Select your state or province.
STATES
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PROVINCES
Alberta
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*Zip:
*Phone (Day):
*Phone (Evening):
Best Time to Call:
*E-mail Address:
How Did You Hear About Us?
I Would Like To:
Adopt Foster
Transport Network
Name of Dog I Am Interested In (If
Any):
Preferences for
Adoption/Fostering
Sex:
Male Female Either
Age:
Under Two Two to Five Any
Age
For People Who
Wish to Adopt
Why Do You Want a Great
Pyrenees?
Where Do You Live?
House Condo/Apt. Other
If "Other", please explain:
Do You Have:
Fully Fenced Yard Chain-link
Kennel
Trolley, other tying
device Large
Crate
Are you aware
that Pyrenees have a tendency to bark and will roam if they are
not securely enclosed?
Please tell us how your yard is
secure:
Number of People in
Household:
Ages of Children:
Do All Members of Your Household
Know You Plan to Adopt a Dog?
Yes No
Own Other Dogs Now? (List Age,
Sex, Whether Spayed/Neutered)
Own Other Pets Now? (List Type,
Sex, Age)
Have You Ever Owned a Pyr?
Yes No
If "yes", please describe what
happened to it:
Have You Owned Other Dogs?
Yes No
If "yes", please describe what
happened to them:
Are You Willing to Travel to
Adopt a Rescue Dog?
Yes No
Are You Willing to Housebreak a
Dog?
Yes No
Your Veterinarian's Name:
Your Veterinarian's Phone
Number:
Any Other Comments?