Iron City Rescue Application

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Email *

Name of animal(s) you're applying for *

First & Last Name *

Your Age/Birthday *

Home Address (inlcuding city and zip code) *

Phone Number *

Email Address *

Your Living Arrangement *

How many adults live in your household (over 21 yrs)? *

How many people under 21 live in your household (what are their ages)? *

Describe the dwelling you reside in *

If renting, please provide name AND phone number of landlord/property manager. Please also specify if a pet deposit is required and if you are willing to pay the pet deposit

How will the animal be kept? *

Do you have a fenced yard? *If so, describe TYPE and HEIGHT (if you do not have a fenced yard, type N/A) *

Please list any animals you currently have in your home, INCLUDING breed and age: *

Are your dogs current on heartworm preventative? *If not, please explain why *

Are your current pets spayed/neutered? *If not, please explain why. *

Please provide current veterinarian name AND phone. *You may need to contact your veterinarian, to give them permission to speak with us. *By submitting this application you consent to this. *

Have you ever surrendered your pet to an animal shelter? *If yes, please explain why. *

Will you allow a representative of Iron City Rescue to complete a home inspection, prior to adopting? *

Please provide any additional information you feel we may need, when considering your application.

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