Printable Adoption Form

When you are ready, you may return to the BACK TO THE WILD! adoption page.


ADOPTION APPLICATION FORM

Name: ________________________________________

Address: ________________________________________

City / State / Zip: ____________________ ____________________ ____________________

Check Amount: $ _______ . __

Name of animal chosen: ________________________________________

Time period of support (check one):

O - 3 months . . . . . . O - 6 months . . . . . . O - 1 year . . . . . . O - Rescue to release

Make check payable to BACK TO THE WILD!

Mail your check and form to:

Mona Rutger, Director
BACK TO THE WILD!
Wildlife Rehabilitation Nature Education Center
P. O. Box 423
Castalia, OH 44824


THANK YOU!