I hereby affirm that all of the above information is true and
correct. I understand that submission of this application does not
necessarily mean that I will be approved to adopt and that you reserve the
right to reject any applicant.
I authorize you to verify any and all information set forth in this
application and to contact my personal and veterinary references.
By submitting this application, I declare that all of the above
information I have given is true and complete.
Please review your application to ensure it has been filled out completely,
then press the Submit button
below which will forward your application form to
Protege Canine Rescue for processing.
Incomplete forms will be rejected immediately.
Please do not submit the form until you have completed it.
Once you have successfully submitted the form, please do not submit
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