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2. Contact Information
   Please complete all sections of the form. Those fields with an asterisk (*) are required.
4. First Name*
5. Last Name*
7. Address1*
8. Unit#
10. City*
11. State*
12. Zip*
14. Phone Number*
    Please enter number with dashes (Ex: 888-555-1212)
15. Email Address
17. Discounted Adoptions

    Veterans, active military, and senior citizens 65 years of age or older may qualify for free or reduced-fee adoptions. Please check all that apply.

    1. I am a Veteran or Active Service Member
    2. I am 65yrs of age or older
19. Required for Adoption*

    1. I certify that I am 18 years of age or older.
21. Dog's Name and ID#*
23. Tell Us About You
    Tell us about your interests and household. These questions will help us provide you with useful information on how to integrate this new pet into your home and lifestyle.
25. I'm interested in this animal because . . .*
27. It's important to me that my new pet . . .*
29. My household is . . .*
31. What energy level are you looking for

    1. Low Energy (short walks and minimal exercise needs)
    2. Medium Energy (enjoys walks and moderate activity but still has the capacity to relax and take a break)
    3. High Energy (Go, go, go! Ready, willing and up for adventures- needs daily exercise)
33. Thank you so much for your interest! Once you have submitted an adoption application form, one of our staff or volunteers will call the number provided on your application, usually within 72 hours. Adoption calls are made Tuesday – Saturday, usually before 2pm. Applicants will be contacted in the order in which the applications are received. If we are unable to reach you on the first attempt, we will move on to the next applicant, so be sure to answer your phone during that time. Your patience and understanding is appreciated!
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35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit Submit and Print

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