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Mixed Mutts Rescue
Home
Adopt
Contact
Donate Today
Found the LOVE of your life?? Ready to change a doggies world??
Name
*
First Name
Last Name
Your Age
Under 18
18-24
25+
Email Address
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
What type of home do you live in?
(condo, apartment, house etc.)
Do you rent or own?
If you rent, Please provide your landlords contact information:
How Long at this address
Under 1 year
1-5 years
5 or more years
Current Occupation:
Tell us about your household:
Does anyone have any known allergies to pets?
Do you have pet's currently?
If yes, Please list type of pet and age
Are your current pets spayed/neutered?
*
Yes
No
I dont have pet's currently
Have you ever given up a pet for any reason?
Yes
No
If yes, please explain
Will your new pet be indoor or outdoor?
Both
Indoor
Outdoor
Are you willing to adopt?
Please check all that apply
a hyper pet
shy/timid pet
pet that needs training
a senior pet
pet that needs grooming
pet with manageable illness
pet with pet aggressive issues
none of they above
What kind of pet are you looking for?
Check all that apply
Female
Male
baby
adult
senior
List any specific breeds, characteristics, etc. you are looking for:
Already fell in love with one of our adoptables?
What was their name, where did you fall in love?
Is there any circumstance in which you would give up your pet?
Yes
No
If Yes, Why?
Digging, Not potty trained, aggressive etc.
Would you be willing to consult a trainer before surrendering your pet?
Yes
No
Are you wiling to make a comitment to a pet for 10 years or more
Yes
No
Any additional information we may need to know?
Phone
*
(###)
###
####
Thank you!