M.A.J.R. Adoption Application
The first step to adopting is this application.  Please answer ALL the questions on this application.   It should take about 10 minutes to complete.

If you don't see a specific dog in our listing of available dogs, but are looking for a JRT or JRT mix, please complete our General Application.  We can contact you with dogs we encounter or bring into the rescue that might be a good match for you.  The General Application can be found at this link:  
Sign in to Google to save your progress. Learn more
Email *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mid-Atlantic Jack Rescue, Inc..