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Wags
and
Wishes
Animal
Rescue
Animal choices: 1._________________2._________________3._________________
Adoption Application
Please complete the following questions. The application process may take 24 hrs minimun. The speed of the process is
determined by how fast the contacts in the information are gotten ahold of. At any time you can call to check the status of
your application. Any information not completed will slow the application process and may cause your application to be
deined. This application has been designed to help us be able to place the animal in the best qualified home and to help
us in finding the best animal for you. We have the right to deny any application. If you are not 18, do not proceed.
Name of applicant (s):____________________________________________________________
Address:______________________________________________________________________
City: ______________________State:________Zip:__________ County:___________________
Home Phone:______________________Cell Phone:___________________________________
E-Mail_______________________________________
How long have you lived at the address above address? ___________________
If less than 3 years, list previous address(s):
_________________________________________________How long?_____________
_________________________________________________How long?_____________
Household Information
Do you:
Own
Live with family:
Owner of home:_______________________
Phone number:_______________________
Rent:
Landlord name:_________________________
Other:____________________________
Landlord number:______________________
________________________________
____________________________________
________________________________
Do you live in a:
House
Mobile Home
On a Farm
Apartment
Condo
Other:___________________
People in Household:
Name
Age
Relation
Continue….