Dog Adoption Application

Please complete the following application in order to be considered for adoption. Thank you! 

Contact Information

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I understand that the Midwest Pet Refuge makes every effort to place healthy animals, but that they cannot guarantee the health, breed, age or temperament of any animal, and MPR shall not be held responsible for any veterinary or medical expenses which may be incurred.

I understand that I am responsible for and financially prepared to provide proper shelter, food, water and all necessary medical treatment for this pet, including the following: recommended vaccinations, heartworm testing/ prevention, flea control, vet care for unexpected injury/ illness, etc. in order to keep this animal healthy and comfortable as an indoor pet. If this is not done, I understand that the Midwest Pet Refuge has the right to reclaim the animal. 

I understand that if I ever cannot properly care for/ have to give up this animal, it MUST be returned to Midwest Pet Refuge. If this is not done, I understand that the Midwest Pet Refuge has the right to reclaim the animal.

I give Midwest Pet Refuge permission to investigate the information provided as well as contact veterinarians and related officials.

I understand that Midwest Pet Refuge reserves the right to refuse the adoption of any animal to anyone for any reason.

I understand that all Adoption Fees and Donations are non-refundable.

I certify that I am at least 18 years old.

I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined.

If an omission or untruth is discovered after an adoption takes place, I understand and accept that Midwest Pet Refuge has the right to annul the adoption and reclaim the animal.

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