Adoption Application

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Thank you for your interest in adopting one of the amazing animals at Paws to the Wall!

About the Adopter

Your Name *

Your Home Address *

Your Phone Number *

Your E-mail Address *

Please provide 3 references, one of which should be a veterinarian *

Please briefly explain your history with animal ownership/companionship *

About the Animal

Animal Name or Identification Number *

Animal Type/Breed *

Animal Age *

Animal Sex

Male

Female

Clear selection

About the Home

Home Ownership *

I own my home

I rent my home

Other:

Required

I Have a Fenced Yard *

Yes

Other:

Required

Adoption Fee

I, the undersigned, agree to provide a donation for Paws to the Wall to continue their lifesaving services *

yes

Required

Consent and Policies

I consent to a home visit prior to finalization of adoption *

yes

Required

I consent to a home visit prior to finalization of adoption *

yes

Required

I understand that if for any reason I can no longer keep the adopted animal, I must return the animal to Paws to the Wall Rescue & Behavioral.

yes

Required

Submit

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