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Animal Intake form
All applications will be reviewed and responded to within 48 hours. Our intake is based solely on foster availability although we take in all we can there's no guarantee we will have openings.
Email address *
Name
Your answer
Phone
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Address
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City
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State
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Zipcode
Your answer
Pets name(s)
Your answer
Species
Age(s) Breed(s) Gender(s) Weight(s)
Your answer
Are they fixed and vaccinated
Your answer
Do you have any paperwork for vaccines and/or alter
Is the animal(s) microchipped?
For cats- Has it ever been tested for felv/fiv? what were the result?
Your answer
Do the animals get along with dogs, cats and/or kids? Please explain
Your answer
Current veterinarian
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Reason for surrendering
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Has the animal ever bitten a human or other animal? please explain
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would you be interested in fostering the animal(s) while they go up for adoption.
Our rescue operates at a constant loss on each pet we help or accept into rescue and successfully adopt into a loving home. Are you able to help financially by sponsoring this pet with a tax-deductible donation?
Is there anything else you'd like us to know about the animal(s) (What food they eat, favorite toys, general personality)
Your answer
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