FAIL (the browser should render some flash content, not this).

MIKE'S DOG HOUSE QUALIFICATION QUESTIONARE

Want to know if you qualify to adopt a dog for Mike's Dog House? Simply fill out the form below and click the submission button. Your infmormation will be reviewed by a member of the Dog House's staff and someone will get back to you within 48 hours. It is important that you fill the form out completely and honestly. Also, please understand that this is a small part of the qualification process. All persons wishing to adopt an animal from the Dog House are required to have a personal interview with the managing director prior to adoption.

 




WHAT TYPE OF DWELLING TO YOU LIVE IN?





WHAT STATE DO YOU LIVE IN?

DO YOU HAVE CHILDREN LIVING WITH YOU?


IF YES, HOW OLD IS THE YOUNGEST?

DO YOU HAVE OTHER PETS IN YOUR HOME?


WHAT ATRACTS YOU TO THE BULLY BREED?

HAVE YOU EVER OWNED A BULLY BEFORE?