Your contact information:
Full name:
Email Add:
Home #:
Cell #:
Your interests:
Type of Pet:	Dog/Puppy Cat/Kitten
Breed(s):
Mix/Pure:	Purebred Mixed with the adove breed No Preference
Sex:	Male Female No Preference
Age:	Puppy (8 weeks - 11 months) Young (1 year - 3 years) Adult (4 years - 7 years) Senior (8 years +) No Preference
Size:	Tiny (under 10lbs) Small (10lbs - 20 lbs) Medium (25lbs - 40lbs) Large (45lbs - 95lbs) X-Large (100lbs +) No Preference
Color:	Black Black with Brown/Golden/Red/Chestnut Black with Gray/Silver Black with Tan/Yellow/Fawn Black with White Blue/Silver/Gray Brindle Brindle & White Brown/Chocolate Brown/Chocolate with Black Brown/Chocolate with Tan Brown/Chocolate with White Fawn Golden/Chestnut Gray/Salt & Pepper Gray/Silver/Salt & Pepper with Black Gray/Silver/Salt & Pepper with White Merle Orange Red Red/Golden/Orange/Chestnut with Black Red/Golden/Orange/Chestnut with White Silver & Gold (Yorkie Colors) Tan Tan/Yellow/Fawn with Black Tan/Yellow/Fawn with White Tri-color (White & Black & Tan/Brown/Red) White White with Black White with Brown/Chocolate White with Gray/Blue/Silver White with Red/Orange/Chestnut/Golden White with Tan/Yellow/Fawn Yellow No Preference
Extra Preferences:
Agreement I understand that by filling out the above wish list that I may be contacted by e-mail or phone when a pet fitting the description of the above form becomes available for adoption. Further more, I understand that if I am contacted I am still required to fill out an adoption application and go through the adoption process.
Do you agree with the terms?	I Understand and Agree I Disagree