28 Hwy 95A North, Yerington NV 89447 email@example.com: 775-463-18422
All fields are required before submission. Please review your information BEFORE sending the application.
The application form does not obligate you to an adoption but provides us with much needed information about yourself and the dog you are looking for so we can help pair you with the perfect companion now, or in the future. All Safe Haven dogs are fully health checked on a regular basis, and are placed spayed & neutered, micro-chipped and up-to-date on vaccinations. Adult dogs are $100 / puppies require a $150 deposit.
By submitting this form, I acknowledge that the above information is true and correct. I authorize representatives of B.A.R.K./Safe Haven Rescue Kennel to contact any person I have listed as a landlord or reference, including my veterinarian and authorize those people to release pertinent information.