Dogs For Adoption
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Dog Adoption Application
Dog Adoption Application
General Info
Dog Interested In:
Your Name:
Your Address:
Your City, State and Zip:
Your Home Phone # (with area code):
Your Employer:
Your Work Phone # (with area code):
Your Email Address
(REQUIRED)
:
Description of Living Situation:
House
Condo
Apartment
Mobile Home
Additional description of home:
Do you:
Own
Rent
If you rent, what is your landlord's name:
Landlord's Phone Number:
Is your yard fenced in:
Completely Fenced
Partially Fenced
Not Fenced
If fenced or partially fenced, please indicate type and height of fence:
Number of adults in household:
Do all adults in household know you wish to adopt:
No
Yes
Age(s) of children in household:
Vet Info and References
Please list all pet(s) you have owned in the past (name, breed mix, age, gender):
Please list all pet(s) you presently own (name, breed mix, age, gender):
Who is your veterinarian (name, address, and phone number):
Are pets current on vaccinations:
No
Yes
Comments:
Are pets spayed/neutered:
No
Yes
Comments:
Please provide three references, at least two being non-family members, (name, address, phone, and email):
1.
2.
3.
Additional Comments:
I have reviewed my application and certify that the information provided on it is true and correct.
Full Name:
Date of submission:
Copyright 2007-2012
People for Animals League
