Please provide the names and telephone numbers of THREE REFERENCES, including your veterinarian and, if applicable, your landlord or property manager. Other references could include a friend, neighbor, employer, relative, etc.
CARE & RESPONSIBILITY
HISTORY OF PET OWNERSHIP
All of the information that I have provided above is true and complete to the best of my knowledge. Should a dog or cat be placed with me, it will reside in my home as a pet. I agree to provide the dog or cat with adequate food, water, shelter, affection, and medical care.