Entrant First Name:

Entrant Last Name:

Rescue pet (s) name(s)

Entrant address:

City

State

Names of any people in a photo:

Phone:

Email:

Date Photo was taken:

What type of camera do you have? Cell Phone?

Please explain how you took your photo:

Please answer the following as honestly as possible regarding your adopted, fostered or saved pet. If self-rescued, please explain. If Not Applicable, please specify N/A.
Name under which the rescue pet was adopted:

Animal shelters, humane societies, or animal welfare organizations where adopted:

Contact information for verification of that adoption:

Telephone

Type of breed/mix

Traits of pet

Any other interesting fact such as trained therapy animal, for instance

Approximate date of adoption:

Also, please tell us the story of your pet or pets:

Please tell us which animal rescue organization you choose to receive half of the prize money if you are the winner. The organization must be a 501(c)(3) charity: website, telephone & email.

Name of chosen rescue:

Address of chosen rescue:

Phone of chosen rescue:

Email of chosen rescue:

* I have read and agree that I am following the rules as stated herein:

Yes

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HAPPY HOLIDAYS! RESCUE PETS PHOTO CONTEST 2022 Amateur