Who is your employer?
If you are under the age of 21, what is your age?
If you have a landlord, check pet policies.
In what type of home do you live*
Do you own or rent your home*
Is your yard fenced*
Yard Partially Fenced
Yard Completely Fenced
What type of fence
What is the height of the fence
List pets you currently own (breed and age)*
Are your current pets spayed or neutered?*
Are your current pets up to date on vaccinations?*
Are your current pets pet friendly
Current or Prior Veterinarian's Name and Phone Number (to be used as a reference)*