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05 Pet Ownership History

Adopter's Information

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Partner's Information

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Veterinary Reference

If you don’t currently have a pet, please fill in the name of a veterinarian you have used in the last five years

I haven't had a pet in the last 5 years Add veterinary reference
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Personal References

Please provide three personal references. Only one of your personal references may be a relative.

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General Questionaire

Please be as detailed as possible.

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Pet Ownership History

Do you currently have any pets, or have you had any in the last five years? Please provide information about each pet, including whether it is spayed or neutered, on heartworm preventive, how and when the pet was acquired, and, if applicable, why you no longer have the animal.

Thank You!

Depending on the number of applications it can take our volunteers a few days to review and contact you. Thank you for your patience.

If you have any questions please feel free to contact us.