Dog Adoption Application - Last Hope K9 Rescue
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4Dog Adoption Application
Thank you for your interest in adopting a rescue dog with Last Hope K9 Rescue. To ensure the
best possible placement of our rescue dogs and in order to determine the proposed adoption is
in the best interest of the animal, you and your family, our application asks a number of detailed
questions.
All information will remain confidential. If you have any questions please call us at 860-944-
9243 or email us at
Please allow up to one week for processing. Finding the perfect match between adopter and
dog is our most important goal. Thank you for your interest in saving a shelter dog!
Full Name:
Age:
**Note you must be at least 21 to
adopt from Last Hope K9
Rescue
Address:
(including city, state, zip)
Phone:
Email:
Spouse Name
Spouse Phone:
Spouse Email:
Employer:
Years of Employment:
Work Phone
Please list two personal references and their relationship to you
Name:
Name:
Address:
Address:
(including city, state, zip)
(including city, state, zip)
Phone:
Phone:
Email:
Email:
Relationship to you:
Relationship to you:
Your current veterinarian
(list veterinarian you intend to use if no current pets)
Name:
Phone:
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