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Please fill out the following form completely and submit to Safe Harbor. We will be in touch with you shortly. Thank you.
Please list all of the pets you have owned in the last 5 years:
Please indicate your understanding/agreement with the following items:
I am capable of handling and interacting with the pet I propose to adopt, and I am prepared to demonstrate this to the satisfaction of Safe Harbor Animal Hospital. I understand that completing this application does not guarantee that I will be allowed a pet or the pet of my preference, and Safe Harbor Animal Hospital has the right and responsibility to deny any adoptions.
Enter the verification code in the box below.
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