Dog Adoption Liability Waiver

Dog Adoption Liability Waiver
Please complete this form to acknowledge your understanding and acceptance of responsibilities and liabilities associated with adopting a dog.
Applicant Full Name
First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Dog's Name
Dog's Breed (if known)
Dog's Age (approximate)
Have you previously owned a dog?
Do you have any other pets at home?
If yes, please list other pets in your household (species, breed, age)
Who will be primarily responsible for the dog's care?
Signature (Please sign to confirm your acceptance of the above terms and conditions)
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