Adoption Application
Instructions: Please enter your information. Answer all questions.

Note: We can only adopt to persons 21 years of age and older.
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  • For specific Day/Hour availability, please enter information below.
  • Read the following carefully.

    I declare that the information I have provided in this application is complete and correct. I further declare that I am physically able to care for a Yorkshire Terrier. I understand the requirements and grant permission for home checks at random, both prior to and following adoption. I submit that if a home check reveals falsification or misrepresentation of any facts on my part, Yorkie Rescue of America reserves the right to either refuse adoption or to nullify the adoption and reclaim said Yorkshire Terrier from my premises without reimbursement of the adoption donation. I release Yorkie Rescue of America from any liabilities I may incur from the adoption process.
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