BY TICKING THE BOX BELOW, I CERTIFY THE INFORMATION PROVIDED WITHIN THIS APPLICATION IS TRUE AND CORRRECT. I UNDERSTAND BY COMPLETING THIS APPLICATION, IT IS NOT A PROMISE OR GUARANTEE OF ADOPTION APPROVAL. I UNDERSTAND IF I HAVE GIVEN ANY FALSE INFORMATION OR I HAVE NOT COMPLETELY ANSWERED ALL THE QUESTIONS, THIS APPLICATION WILL AUTOMATICALLY BE DENIED
PERMISSION IS GIVEN TO APS-FH TO CONTACT MY VETERINARIAN, REFERENCES AND ANY OTHER PERSONS OR ENTITY TO VERIFY THAT THE INFORMATION WITHIN THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.