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Adoption Form
Dog"s Name Your interested in Adopting
Name:
Address:
City:
State:
Zip
PHONE
Email Address
Number of Adults and children in Family
Name and Number of Current Veterinarian
Do you own or rent or lease your home?
Landlords number(if Applies)
Do you have a Fenced in Yard
Yes
No
Where will the dog be kept during the day
At night?
A Dog can live for 15 years, Are you ready to take responsibility for its entire Life
The Menifee Co Shelter ...Worms , vaccinates and treats all dogs before leaving the shelter......Since Most shelter animals have unknown medical backgrounds are you prepared to take your new pet to the vet within 7 days for a full checkup and that the Menifee Co shelter is NOT responsible for the cost of any unknown illnesses.
Yes
No
Do you understand that We make no representation or guarantees about any animal's temperament or health and that any comment that an animal is good with children or other animals or is housebroken is based upon information provided by the previous owner and is believed to be true and also that WE are not liable for any future injury or damage which may be caused by the animal?
Yes
No
PLEASE FEEL FREE TO PROVIDE DETAILS ABOUT THE PREVIOUS QUESTIONS BELOW. YOU MAY ALSO INCLUDE ANY ADDITIONAL COMMENTS YOU WOULD LIKE.
By submitting this application you are certifying that the information you have given is true and that any misrepresentation of facts may result in losing the privilege of adopting a pet.
Yes
No
THANK YOU FOR APPLYING!!!
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