Adoption Form

Date____________

My Name __________________________________________________

Address___________________________________________________

City __________________________ State_____ Zip _______________

If this is a gift, the gift is for:

Name ____________________________________________________

Address__________________________________________________

City __________________________ State_____ Zip ______________

Choose one:

1. _____ I would like to adopt a wild orphaned baby
          (We will send a collage of photos of a variety of wild babies!).

2. _____ I would like to adopt a disabled bird of prey.The species I would
like to adopt is:___________________

Send by (date) ____________________________

I am enclosing a check for $ ______________________

Please make your check payable to the St. Francis Wildlife Association.

Mail completed form and check to:

Adopt-an-Animal Program
St. Francis Wildlife Association
P.O. Box 38160
Tallahassee, FL 32303