INSTRUCTIONS
Fill in all of the appropriate blanks below. Those blanks marked with a
red asterisk (*) are required.
If these fields do not contain valid information, your request will not
be processed. For each element entered, indicate if it should appear on
the list we distribute to local shelter or on this web site ... or both.
If no options are selected, that information will not be included. Please
do not "assume" that we know most of your information. If we did,
we've forgotten it by now so please fill it out again.
If you have any questions about
completing this form, please contact us.
Please note: You may use
your mouse or your tab key to move from one question to the next. Do not
press "Enter" or "Return" before you are ready to submit
the information. This will result in the application being sent before it
is complete.
What do you want to do
with your information on the DFWCARES list distributed to shelters?
What do you want to do
with your information on the DFWCARES web site?
Be sure to complete
the required fields (*) below
even if that information is not changing. You can not submit this form until
the required fields contain data.