New Start Dog Rescue of Illinois Adoption Application

NOTE: To be eligible to adopt, and for the safety of our pets, all animals in your home must be current on all vaccines, including Rabies, Distemper and Bordatella. We will verify this information with your veterinarian. They must also be kept on monthly heartworm and flea/tick preventatives.

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    Personal Information

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    Co-Applicant Information

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    Residence Information

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    Household Information

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    Pet Information

    Please list ALL animals currently residing in your household, as well as any dog or cat you have had within the past five years.

    Pet 1

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    Pet 2

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    Pet 3

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    Pet 4

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    Animal Care

    New Start Dog Rescue of Illinois requires all dogs to be current on Rabies, Distemper and Bordetella vaccinations, spayed/neutered and kept on monthly heartworm and flea/tick preventatives.
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    Your References

    New Start Dog Rescue of Illinois will contact each of the references listed below.
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    Adoption Preferences

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    Dog Training

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    Note:

    Your application will be immediately denied if: -Animals in your household are not current on vetting and vaccinations (Distemper, Rabies and Bordetella for dogs, Distemper and Rabies for cats) -Animals in your household are not on heartworm and flea/tick preventatives -Animals in your home are not spayed/neutered -Any information on this application is found to be false