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* 1. Please let us know which animal (s) you are interested in (include species and breed if known)

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* 2. Please provide your contact information:

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* 3. As an adopter you are responsible for checking into additional security fees, insurance cost, etc. that you may become responsible for when adopting a pet. Do you accept that responsibility?

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* 4. Names of adults in the house:

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* 5. Is everyone comfortable with adopting an animal?

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* 6. Are there children in the household?  (including partial custody)

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