* Required
BCFS Animal Adoption Form
GENERAL INFORMATION:
Full Name:
*
Your answer
Primary Email:
*
Your answer
Primary Phone Number with area code:
*
Your answer
Alternative Phone Number with area code:
Your answer
Street Address:
*
Your answer
City:
*
Your answer
Province:
*
Your answer
Postal Code:
*
Your answer
If you are in a rural locale, the nearest major city:
Your answer
Occupation:
*
Your answer
Please check the appropriate age category:
*
Choose
Under 18 (If under 18, you must have a parent/guardian's consent)
Age 18 to 25
Age 26 to 40
Age 41 to 65
Age Over 66
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