Application for adoption

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=110 BGCOLOR="#666699" TEXT="#080000" bgproperties="fixed" background="04b00840erlcjm.png"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Arial" ><B>Namtrah Tibetan Spaniels</B></FONT><B>     |     </B><A HREF="index.htm" TARGET="_top" TITLE="Namtrah Tibetan Spaniels"><U><B>home</B></U></A></div> <div> <A HREF="id19.htm" TARGET="_top" TITLE="Philosophy"><U>Philosophy</U></A>   |   <A HREF="id35.htm" TARGET="_top" TITLE="The Namtrah Tibbies"><U>The Namtrah Tibbies</U></A>   |   <A HREF="id78.htm" TARGET="_top" TITLE="Show News"><U>Show News</U></A>   |   <A HREF="id36.htm" TARGET="_top" TITLE="To Contact Us"><U>To Contact Us</U></A>   |   <A HREF="id47.htm" TARGET="_top" TITLE="Recent Ads"><U>Recent Ads</U></A>   |   <B>Application for adoption</B>   |   <A HREF="id72.htm" TARGET="_top" TITLE="Available Tibbies"><U>Available Tibbies</U></A>   |   <A HREF="id138.htm" TARGET="_top" TITLE="New Homes"><U>New Homes</U></A>   |   <A HREF="id25.htm" TARGET="_top" TITLE="Where are they now"><U>Where are they now</U></A>   |   <A HREF="id57.htm" TARGET="_top" TITLE="Litter Basket"><U>Litter Basket</U></A>   |   <A HREF="id133.htm" TARGET="_top" TITLE="Namtrah History"><U>Namtrah History</U></A>   |   <A HREF="id158.htm" TARGET="_top" TITLE="RIP Beloved Ones"><U>RIP Beloved Ones</U></A>   |   <A HREF="id159.htm" TARGET="_top" TITLE="Christmas Greetings"><U>Christmas Greetings</U></A>   |   <A HREF="id61.htm" TARGET="_top" TITLE="Kindred Spirits Tibbies"><U>Kindred Spirits Tibbies</U></A>   |   <A HREF="id108.htm" TARGET="_top" TITLE="A Special Black Tan Litter"><U>A Special Black & Tan Litter</U></A>   |   <A HREF="id137.htm" TARGET="_top" TITLE="The Too Cute Litter"><U>The "Too Cute" Litter</U></A>   |   <A HREF="id60.htm" TARGET="_top" TITLE="Jewels 2002 pups"><U>Jewel's 2002 pups</U></A>   |   <A HREF="id52.htm" TARGET="_top" TITLE="Heidi 2002 pups"><U>Heidi 2002 pups</U></A>   |   <A HREF="id27.htm" TARGET="_top" TITLE="Class of 2001"><U>Class of 2001</U></A>   |   <A HREF="id28.htm" TARGET="_top" TITLE="Sept 2000 Puppy Pics"><U>Sept 2000 Puppy Pics</U></A>   |   <A HREF="id162.htm" TARGET="_top" TITLE="2018 National Specialty"><U>2018 National Specialty</U></A>   |   <A HREF="id109.htm" TARGET="_top" TITLE="Guest Book"><U>Guest Book</U></A>   |   <A HREF="id31.htm" TARGET="_top" TITLE="Anesthetic Protocol for Tibetan Spaniels"><U>Anesthetic Protocol for Tibetan Spaniels</U></A>   |   <A HREF="id26.htm" TARGET="_top" TITLE="More Tibbie Info"><U>More Tibbie Info</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" height=370 BGCOLOR="#FFFFFF" TEXT="#080000"> <div>                                                                     Application for adoption</div> <div> At Namtrah Tibetan Spaniels we take breeding, raising, training, and showing of Tibetan Spaniels very seriously. Our selection and breeding priorities are very simple we work to maintain the best temperament, the best conformation and the best health in all our Tibetan Spaniels.  We ask for this information because we care very much for this breed and consider each puppy we bring into the world our "responsibility" for the rest of it's long and happy life. If you have any questions for us please feel free to ask them. Please send an e-mail to hbhartman@aol.com or call 203-240-8039 if you would like more information or to receive an application by mail. We are located in South Central Pennsyvania, halfway between Harrisburg and York, PA.</div> <bR> <div> You may cut and paste a copy into your email or word document</div> <bR> <div> Name: ____________________________________________________   Date: __________________</div> <bR> <div> Email Address: ______________________________________     Home Phone: _________________</div> <bR> <div> Address: ___________________________________________     Work Phone: _________________</div> <bR> <div> City:  _____________________________     State: ________________     Zip Code: ______________</div> <bR> <div> Occupation: ___________________________________Age (circle one) <20 20-40 40-60 Over 60</div> <bR> <div> How did you find out about Namtrah Tibetan Spaniels?</div> <bR> <bR> <bR> <div> Why are you interested in adopting a purebred Tibetan Spaniel?</div> <bR> <bR> <bR> <div> What situations would cause you not to be able to keep this Tibbie?</div> <bR> <bR> <bR> <div> Do you understand that if you are no longer able to keep this dog you are required to return it to Namtrah Tibetan Spaniels:       </div> <div> YES:  _______          NO: ______</div> <bR> <div> Which of the following best describes your current residence?</div> <div> Own Home/Condo:  ______     Rent/Lease Apartment:  _______     Rent/Lease House: _______</div> <bR> <div> Do you have a fenced yard on your property?   Yes:  _________   No:  __________</div> <bR> <div> If so how high is the fence?     ____________________</div> <bR> <div> How do you plan to allow your pet to relieve itself and/or exercise?</div> <bR> <bR> <bR> <div> Do all the adults in the household work out of the home full time?    Yes:  _____  No:  _____</div> <bR> <div> Approximately how many hours each day will your dog be left alone?  ________________</div> <bR> <div> Where will the dog be kept when left alone?</div> <bR> <bR> <div> Do you have any children living with you?  Yes:  _________  No:  __________</div> <bR> <div> If yes, what are their ages and sex?  _______________________________________________</div> <bR> <div> _______________________________________________________________________________</div> <bR> <bR> <div> What other animals do you have? List breed, age, sex, spayed/neutered, how long you have  owned them. </div> <div> If you just recently lost a pet please include information on that pet as well.</div> <bR> <div> _______________________________________________________________________________</div> <bR> <div> _______________________________________________________________________________</div> <div>       Please provide your Veterinarian contact information:</div> <bR> <div> Name: ______________________________________________   Phone number: _____________</div> <bR> <div> Address:________________________________________________________________________</div> <bR> <div> _______________________________________________________________________________</div> <bR> <div> Please provide a personal reference (preferably a dog owner):</div> <bR> <div> Name:  ___________________________________________   Phone number: ______________</div> <bR> <div> Address:       _____________________________________________________________________</div> <bR> <div>              ____________________________________________________________________</div> <bR> <div> All pet companion Tibetan Spaniels must be spayed/neutered and proof provide back to Namtrah Tibetan Spaniels </div> <div> before their AKC papers will be released. Also it must be understood to maintain good health the Tibetan Spaniel </div> <div> must be kept current on all vaccinations and receive an annual check-up. </div> <bR> <bR> <bR> <bR> <bR> <div>                              </div> <div>                               </div> <div>    </div> <div>                     </div> <bR> <bR> <bR> </td> </tr></table></body>