Jokuba Basenjis - Basenji Breeder in Lugoff, SC, USA

ADOPTION APPLICATION

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Do you live in a:

If you rent, do you have your landlord's approval to own this dog? Yes No

Do you have a 6 foot fenced yard? Yes No

Type Of Fence: (The more flexible you are the greater the chance of a perfect match.)

How old are you?

Do you have any children?

Are you?

Do you have roommates? Yes No

Do you have other dogs/pets of any kind living with you? Yes No

If so, what kind?

Have you ever been owned by a Basenji before? Yes No

What traits are you looking for in a dog?

Why have you decided you would like a Basenji versus another breed?

Have you ever met a Basenji? Yes No

Do you work and if so, choose type of work?

Are you interested in a male or female Basenji?

Do you have a colour preference?

Can you also give me a second/ third colour preference?

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