Application for Intake 
WE CAN DO A COURTESY POST FOR YOU (IF YOU INCLUDE A PHOTO), BUT WE ARE NOT ACCEPTING NEW CASES AT THIS TIME.

Thank you for your understanding and patience!

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Email *
Date:
MM
/
DD
/
YYYY
incName and address, please include zip code: *
Name of the pet: 
What kind of pet? *
Approximate age: 
Sex: *
Approximate weight: 
Breed/description:  *
Tags/collar: 
General situation:  *
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