Name

Address

City

State

Zip Code

Home Phone

Work Phone

Cell Phone

E-mail

How often do you check email?

Preferred method of contact

If the question doesn't apply to you, please enter "n/a" as the answer.
Use "tab" key to move between fields. "Enter" key will clear the form.

Would you like to receive email regarding events and fundraisers?

Would you consider volunteering for events or fundraisers?

Would you consider volunteering to be a foster home?

Would you like to join the SheltieRescueGA yahoo group list?

What was your dog's tag number?

Dog's name before adoption?

What is your dog's name now?

Do you need a new tag?
(Your contract states this tag will stay on the dog at all times.)

Contact Information Update