Adoption Application

Which animal are you interested in adopting?
Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Email*
Phone*
Age*
Occupation*

Routine health care can cost up to $300.00 a year and emergencies are often over $1,000. Are you willing to provide this care if necessary?*
- Yes
- No
Please tell us a little about your current/previous pets and anything else you'd like us to know.
I understand that Smiling Dog Rescue cannot and does not make any representation of warranties, either expressed or implied concerning the temperament, habit, health, pedigree, disposition, sex or background of this animal and that I have no rights to reimbursement of medical or professional fees. Furthermore, I understand that the animal’s future reactions to me, my family or any other persons are completely unpredictable because animals have their own personalities. I also assume full responsibility to provide proper food, water, shelter, veterinary care, exercises, and a safe environment for this animal. Animals should never be left unattended in a motor vehicle at any time. In consideration of receiving this animal the adopting party hereby releases Smiling Dog Rescue, its foster parents, and any employees from claims of liability to anyone for injuries or damage caused to them or their property. By signing my name below I acknowledge that if for any reason I do not or cannot comply with the provisions of this agreement or state and city laws governing animals, I agree to return the animal to Smiling Dog Rescue and forfeit all fees and expenses associated with the animal.
Signature*
Comments
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Adoption Application

Step 1 of 4 - Basic info