Alfie Application Post July 24, 2024 Please fill out this application if you are interested in adopting Alfie the Akita! Adopter Information First & Last Name: * E-mail: * Address: * City, State, Zip: * Home Phone: Work Phone: Cell Phone: Are you 18 or older?: Yes Are you 65 or older?: Yes No Drivers License #: * Children and Your Home: * I have children I do not have children Children visit my home Children rarely visit my home Children's Ages: Living Situation: * Rent Own Live with Parents Mobile Home Condo Pets Living In Your Home Please list all pets in past 10 years: * Please list all pets that have lived in your household in the past 10 years. Include the pets type, age, sex, breed, if it was altered (spayed or neutered), how long you owned it, where it was kept in your house, and if you currently still own this pet. Please provide more information on any animals currently in the home (include breed, sex, and spay/neuter status): Please Complete These Questions What is your experience with Akitas?: * Is there anything else you would like to tell us about your home, or why you would be a good match?:
