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2. 
4. What is your Pet's name?

   
   
   

6. Does your pet have a nick name?
8. Are you a Signal Hill resident?*

   1. Yes
   2. No
10. What is your name?*
12. What is your email address? *
14. What is your home address?*
16. What type of animal/breed is your pet?*
18. What makes your pet special?
20. How long have you had your pet? How did you acquire your pet?
22. What activities does your pet like to do?
24. Does your pet have all required licenses?*

    1. Yes
    2. No
26. Please upload a photo of the pet you are nominating.
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field