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Lake Tahoe Wolf Rescue   

Please PRINT clearly in black ink

Potential adopters must be min. 30 years of age or own their home. 

 

 

1. Information: 

Name : _______________________________________________________  Date:  ___________ 

 

Physical Address: ________________________________________________________________ 

 

City:  ___________________________________________ State:  _______ Zip:  ______________ 

 

Mailing Address if different: ___________________________________________________________________________

 

Phone:   (H)  _____________________  (C)  ___________________  (partner)  _________________

 

E-mail:  ______________________________________________________________________ 

 

Name of Partner [(indicate relationship, i.e. married, roommate, partner, parent): ___________________________ 

 

Age of Applicant: __________   Age of Partner: ___________ 

 

Driver’s license no. (please indicate state) # ________________________________________________ 

 

Is your Partner and family agreeable to the adoption this dog, or of a wolfdog? Yes:_____  No: ____

 

Do you have any children?   Yes:_____  No: ____     If yes, how many? ______ 

Please list children's (or grandchildren’s) names, gender and ages below: If grandchildren, how often do they visit? 

 

Name: _______________________________  Age: ______ Gender __________ 

 

Name: _______________________________  Age: ______ Gender __________ 

 

Name: _______________________________  Age: ______  Gender __________ 

 

Name: _______________________________  Age: ______ Gender __________  

 

Do you     ____Own     ____Rent?  

If you rent, please provide your landlord's name and phone number in order for us to obtain their knowledge and consent of animal adoption.  

 

Landlord's Name: _______________________________  Phone Number: ________________________ 

 

Prior to adoption, a Home Check is required for the safety and well being of the animal. Are you agreeable to a visit by an individual via our network? Yes: ____  No ____

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