Woodruff Co. Animal Rescue Friends

Dog interested in: *

Name of Applicant *

Address *

Home Phone Number *

Cell Phone Number *

Email *

Ages of all adults and children living at your house: *

Other pets, ages and whether or not they are spay/neutered: *

Name and phone number of current vet: *

If you do not have a vet, please list a personal reference: *

Is your yard fenced? *

Will the dog be allowed in the house? *

How long daily will the dog be left alone? *

Where will the dog stay when you are away from home? *

Please tell us why you want a dog: *

Please tell us a little about your lifestyle and your family including any special activities in which your dog would be included: *