Below are three areas for information on other members of your family. Please include all other adults, children and pets living in your home by clicking on the designated button.
Maximum number of adults reached.
Maximum number of children reached.
Maximum number of dogs reached.
Maximum number of pets reached.
All dogs placed through the [RecueGroupName] will have health checks, personality and temperament evaluations, and will be spayed or neutered prior to placement unless a medical condition exists, diagnosed by a veterinarian, that would prevent this surgery. I understand that this is a preliminary application and that there may be no Dog available in rescue at this time. I understand that if a Dog should become available, that I will be required to provide further information including, but not limited to, personal and veterinary references. I further understand that all information on my Preliminary Rescue Adoption Application will be kept confidential; that my application will be kept on file until I notify the [RecueGroupName] that I am no longer interested in a rescue; and that I will not be contacted unless an appropriate Dog becomes available. I understand and agree *
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