Mosaic

Name

First

Last

Email

Physical Address

Contact Number

Name of the dog or cat you wish to adopt

Authorisation

I hereby confirm that I have read through and understand the adoption procedure, as set out by the Wellington SPCA.
I understand that the adoption is subject to the availability of the animal I wish to adopt, and the favourable completion of a home-check.
I understand that the submission of this adoption request does not serve as a guarantee that the adoption will be approved / granted.
I hereby authorise the Wellington SPCA to use my details in order to contact me.

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