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Norwich Terrier Club of America Rescue Committee – Adoption Application
Norwich Terrier Club of America Rescue Committee – Adoption Application
Amanda Kozora
2023-02-10T10:01:48-05:00
Norwich Terrier Club of America Rescue Committee – Adoption Application
Date of Application
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MM slash DD slash YYYY
Name
(Required)
First
Last
Address
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Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
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Email
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Why do you want a Norwich Terrier?
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Have you ever owned a Norwich Terrier or any other dog? If you no longer own the dog, please explain.
(Required)
Do you currently have another dog(s)? What breed, sex, age, spayed or neutered?
(Required)
How many people live in your household? Children and their ages?
(Required)
Do you prefer a male or female Norwich Terrier?
(Required)
Are you a member of any dog club?
(Required)
Who referred you to the NTCA Rescue Committee?
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Would you be interested in a senior Norwich Terrier (7 years of older)?
(Required)
Would you be interested in a Norwich Terrier with special needs (e.g., needs medication, allergies, special dietary needs, restricted activities)?
(Required)
Thank you for your interest in our breed.
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