Send To: *
ARF default Veronica Mary Trish Jean
Your full name *
phone number (with area code) *
E-mail Address: *
Complete mailing address (and physical address, if different) *
Name and description of pet you want to adopt (and second choice, if applicable) *
Why are you considering adding a pet to your life? (check all that apply) *
Companion for adults Companion for children Protection for home Protection for work/ office Working / hunting Companion for other pets
Most recent pet	Dog Cat Other
Please check all that apply to this pet:
altered declawed ears/tail docked microchipped current on shots has been bred
Date you acquired this pet:
Where is the pet now? If it has died, how did it die?
Next recent pet:	Dog Cat Other
Please check all that apply to this pet:
altered declawed ears/tails docked microchipped current on shots has been bred
Date you acquired this pet:
Where is the pet now? If it has died, how did it die?
Third most recent pet:	Dog Cat Other
Please check all that apply to this pet:
altered declawed ears/tail docked microchipped current on shots has been bred
Date you acquired this pet:
Where is the pet now? If it has died, how did it die?
Name and number of your veterinarian:
Where will this pet stay? *
mainly inside mainly outside in fence/ lot mainly outside on chain mainly outside running free other
If you checked other above, please explain:
What will happen if your pet has behavioral problems? What problems would you consider unacceptable? *
Pets can live 10-20 years. What will happen to this pet if you move or are unable to care for it? *
Do you have permission from all household members, and from landlord, if applicable? *	yes no
Comments


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