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NTCA Rescue Committee – Adoption Application
NTCA Rescue Committee – Adoption Application
Amanda Kozora
2022-01-31T16:47:58-05:00
Date of Application
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Name
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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.
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Do you currently have another dog(s)? What breed, sex, age, spayed or neutered?
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How many people live in your household? Children and their ages?
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Do you prefer a male or female Norwich Terrier?
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Are you a member of any dog club?
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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)?
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Would you be interested in a Norwich Terrier with special needs (e.g., needs medication, allergies, special dietary needs, restricted activities)?
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Thank you for your interest in our breed.
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