Agreement:

• By signing below, I attest that all the information I have provided in this application is true and correct.
• I understand that filling out an application does not guarantee receiving a Therapeutic Interactive Pet (TIP) from Pets for Vets®.
• I understand that if I do receive a Pets for Vets® TIP, I will sign a contract, and this application will become part of that contract.
• If any information contained in this application is found to be false, I understand that the adoption contract will be considered null and void.
• I understand that I will need to provide a copy of my DD Form 214 or Retired ID card in order for my application to be processed.
• Prior to receiving a TIP from Pets for Vets®, I may need to pass a background check.

STATEMENT OF NONDISCRIMINATION: Pets for Vets® does not and shall not discriminate on the basis of race, color, religion, gender, gender expression, age, national origin, disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, clients, volunteers, subcontractors, and vendors.

By selecting the “I agree” button, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document. By selecting “I agree” using any device, means, or action, I consent to the legally binding terms and conditions of this document. I further agree that my signature on this document is as valid as if I signed the document in writing. I am also confirming that I am authorized to enter into this Agreement. If I am signing this document on behalf of a minor, I represent and warrant that I am the minor’s parent or legal guardian.

Name: First Name   Last Name  .
Date: Date*