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Home
About Us
Available Dogs
Adoption Application
3-3-3 Rule
Snake Bite Awareness
Donate
Events
Adoption Application
Adoption Application
Which dog are you applying for?
First Name
Last Name
Home Phone
Cell Phone
Email Address
Gender
Male
Female
Birthdate
Current Address
Address Line 1
Address Line 2
City
State
Zip Code
Dog Preference
PUPPY UNDER 1 YEAR
YOUNG 1-3
MIDDLE 4-6
SENIOR 7
OPEN
Are there children in the home? If so ages
Have you owned a dog before
Yes
No
If yes, Name and Phone number Veterinarian
Other animals in the home (If so please list)
Gender Other dogs
What kind of daily exercise will you provide your dog
What do you estimate the yearly expense of owning a dog
Who will be the primary care giver of the dog
Where will your dog be when your family is home
Where will your dog be when your family is not home
How long will your dog be left alone at a time
0-3 hours
3-6 hours
6-8 hours
8 hours
Do you have a fenced in yard
Yes
No
Are you familiar with heart worm prevention and its associated costs
Yes
No
ARE YOU WILLING TO GIVE A RESCUED DOG AT LEAST TWO (2) MONTHS TO ADJUST TO YOU/YOUR FAMILY AND THEIR NEW ENVIRONMENT
YES
NO
Adoption Donation
Minimum donation
$400.00
for dogs under one (1) year
Minimum donation
$375.00
for dogs one (1) to six (6) years
Minimum donation
$250.00
for dogs seven (7) to nine (9) years
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