Contact information
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Email *
Name *
Address *
Phone number *
Are there any children in your home and ages *
Do. all members agree on getting a dog? *
Have you contacted other rescue groups? *
Have you any pets now, if so, what and ages. *
What pets have you had in the past ? *
Is there a particular dog or cat you are interested in ? *
Do you rent or own ? If you rent , are there pet restrictions ? Name and number for youu landlord. *
Are you willing to take dogs that might have special needs , houesbreaking, health issues where daily medication might have to be given ? Anxiety? *
Vet reference *
Groomer Reference *
Personal Refemce *
Personal reference *
I understand that I will be put on a waiting list who wish to adopt dogs. The family that is best match will get to be given priority for the dog. *
I agree to pay a fee for the dog to help defray operations and vet costs *
I have read above information carefully and have answered the application honestly. I understand that omission or untruth is discovered after the adoption occurs, I understand and accept that Wisconsin Cocker Rescue , Inc. has the right to annul the adoption(sale)/placement and reclaim the dog. *
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