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  • SOUTHERN ANIMAL RESCUE

    DOG Adoption Application
  • Personal Information:

  • Current Living Situation

  • If you RENT or LEASE, please provide the following landlord/owner’s information:

  • Veterinary Information (for owned and previously owned pets)

  • If you do not currently have a veterinarian, you will be asked to obtain one before the adoption is finalized.

  • Please list CURRENT PETS and Pets you’ve owned IN THE PAST 5 YEARS:

  • Pet care philosophy and training

  • Please provide two personal references that we may call and verify the information above:

  • By signing below, you agree that you are applying for this dog for yourself and no one else and this dog will be living only at the above address listed above.

  • Should be Empty: