County Roads Rescue
Jacksonville, Tx
Adoption Application
All applications will be considered and requirements are based on each individual animal.
Can we verify your employment? *
Do you rent or own your home? *
Housing Type *
Were you given permission by your landlord to adopt an animal? *

Have you had experience with this particular breed? (If applicable)
Do you have a fenced in yard? *
Have you adopted from a rescue before? *
Are your other animals up to date on shots, and heartworm prevention *
Are your other animals spayed/neutered? *
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Thank you for submitting an application for adoption!