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Donation & Contact Info
News & Fundraisers
Volunteers / Members
Street Address, City, State and Zip Code
Home / Cell Number
Do you live in a house, apartment, mobile home, other?
Do you own or rent?
If you rent, provide your landlords name and phone number.
How long have you lived at this address?
Do you have children? If so, what are their ages?
Are the children use to animals and do any of them have allergies to animals?
Why do you want this animal?
Do you have any other pets? If yes, what?
If you currently have pets, how long have you had them?
Are they current on vaccines and licenses?
What is your veterinarians name and phone number?
May we contact your veterinarian? If no, please explain in detail.
What heartworm prevention do you plan on using or are currently using?
How many pets have you owned in the last three years?
Have you adopted from us before?
What are sex are they? Are they spayed or neutered?
List two references that do not live with you. Please include their names and phone numbers.
List the name of the animal you are interested in adopting.
Thank you for contacting us. We will get back to you as soon as possible
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