Adoption Application

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The Crossings Animal Society

Disclaimers

Thank you for your interest in adopting a pet from The Crossings Animal Society. The following information is requested so that we can assist you in the selection of a new pet. This form and consultation with our adoption representative are designed to help us determine if the adoption is in the animal’s best interest and to assist you in finding an animal most compatible with your lifestyle. Completion of this application does not guarantee adoption by CAS.

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Date of Birth *

YYYY

Occupation *

How did you hear about us? *

Family Veterinarian *

Yes

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