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First and Last Name:
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Select your age range:
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City:
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Select State or Province:
Other Country:
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Valid E-Mail Address :
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If you have a Web Site please enter URL:
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How many dogs do you have?:
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Breed of dog(s), name(s), sex, age:
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Where are they from (Rescue organization, Shelter, Stray,
Breeder, etc.):
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What activities do you do with your dogs?:
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Would you be interested now or in the future, in helping with
Pit Bull rescue when needed? (Check all that apply)
Sorry, I can't help needy Pit Bulls at the moment
I can foster needy dogs on a short basis (overnight to a
few days)
I can foster needy dogs on a long basis (until a good home
is found)
I can do homechecks in my region
I can do temperament evaluations on potential prospects
for adoption
I can transport rescue dogs in my region
Additional information or comments you would like to add regarding
helping needy dogs
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Please tell us how you found PitBull-L
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Additional comments:
Only press button once, please
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