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Thank you for your interest in helping give a loving "forever home" to a needy dog.

Adopted

FOR OFFICE USE ONLY:
Vet Reference check by: ___________________________   Date: ___________

Home visit by: ___________________________   Date: ___________

Approved Date: ________________________

Disapproved Date: _________________

Comments:

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GRAPE • PO Box 124 • Springfield, PA 19064 • E-Mail: info@graperescue.com
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