ADOPTION APPLICATION
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  • Spouse's Information
  • Personal Reference #1

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  • Personal Reference #2

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  • Your Veterinarian

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  • Pets

  • Type/Breed
    Sex
    Spayed or neutered?
  • Age
    How long owned?
    Inside or outside?
  • Type/Breed
    Sex
    Spayed or neutered?
  • Age
    How long owned?
    Inside or outside?
  • Type/Breed
    Sex
    Spayed or neutered?
  • Age
    How long owned?
    Inside or outside?
  • Type/Breed
    Sex
    Spayed or neutered?
  • Age
    How long owned?
    What happened to pet?
  • Type/Breed
    Sex
    Spayed or neutered?
  • Age
    How long owned?
    What happened to pet?
  • Type/Breed
    Sex
    Spayed or neutered?
  • Age
    How long owned?
    What happened to pet?
  • Your Housing Situation

  • Your Household

  • Dog Fitting Into Household

  • By submitting this Adoption Application to American Black & Tan Coonhound Rescue I certify that I am at least 21 years of age and that I will be the legal owner of and ultimately, soley responsible for the care and well-being of any dog that I adopt from American Black & Tan Coonhound Rescue. Any misrepresentation of the true facts in this adoption application or in the adoption agreement will invalidate the adoption agrement and will give American Black & Tan Coonhound Rescue the right to reclaim the adopted dog without refund of the adoption fee.