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Our Wish List
This form is just for those who have
from Local Dog Rescue.
Name of dog you are interested in?
Your name (first & last)
This section pertains to the dog you previously adopted from Local Dog Rescue
Name of dog you previously adopted?
If changed since time of adoption include both former & current names
Description of dog
Briefly describe the dog at time of adoption (breed, sex, age, color etc) i.e. husky mix, female, 5 months old, grey and white
Current status of dog
i.e. Still with us / returned to rescue / senior 15 years old / passed away etc
If dog has passed away...
Briefly describe circumstances i.e. accident, illness, old age
Do you currently have any dogs adopted from another rescue or shelter?
If yes, briefly describe the dog (sex, age, size, temperament). Is the dog fixed? Include name of rescue/shelter and the name of the dog.
Include any other information you feel may be relevant i.e. other new pets, fostering for other rescues, new baby/children in the home, new living arrangements etc.
By checking this box I agree that the information provided above is true and accurate to the best of my knowledge.
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