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LCR SMALL ANIMAL APPLICATION

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LCR Small Animal Application

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*1.	How did you hear about LCR?

*2.

What type of pet are you inquiring about?

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	Bird
	Reptile
	Rabbit
	Barnyard
	If other, please specify

3.	Are you inquiring about a specific pet? If yes, please provide pet's name:

*4.	We often get multiple applications for the same pet. If the pet you are applying for is no longer available, do you want us to continue processing your application to be approved for another pet?

	Yes No

*5.	Are you currently working with or seeking out a pet from another organization? (If yes, please explain in the Comments Box.)

	Yes No Additional Comments

*6.	I understand that the pet I have chosen may not be a good match for my family, and I am open to the suggestions of LCR's adoption counselors and trainers.

	Yes No

*7.

Please provide us with your contact information:

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First Name
Last Name
Address
Address
City
US State
Zip Code
Home Phone
Work Phone
Cell Phone
Email Address

*8.	Is it okay to contact you at work?

	Yes No

*9.	Pet age group desired:

*10.	What gender do you prefer?

*11.

Please select ALL characteristics that are important to you in a pet:

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	Active
	Calm
	Playful
	Intelligent
	Loving
	Independent
	Outgoing/Friendly
	Good with Kids
	Good with Other Animals

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