Dog Adoption Form

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Fields marked with an * are required.

Some of our rescue dogs have experienced neglect, abuse, and abandonment. Because these dogs cannot speak for themselves or choose their future families, we at Paw Hills Adopt-A-Pet have a huge responsibility in making that decision for them. We ask our adopters to take into consideration that pets require a lifelong commitment. When planning for a new pet, future life changes such as marriage, divorce, pet friendly rentals, additions to the family, career changes and allergies must be taken into consideration. We strive to place our dogs into permanent, loving homes.

Name of Dog(s) Applying for: *

Applicant's Name *

Age *

Address *

City *

Zip *

Email *

Home Phone *

Cell Phone *

Work Phone *

Where is your place of employment?

How long have you been employed there?

Do plan to get pet insurance?

I certify that all of the above information is true and accurate. I understand that if I adopt a pet from Paw Hills Adopt-A-Pet, this document will become part of the adoption record. *

Please note: We are not a breeder. Should any genetic defects or any other issues arise when they are in your care, this is your responsibility. We are responsible for spay/neuters, microchip, initial vaccines for DHPP & Rabies, deworming and flea or mite treatments while in our care. We feed all of our animals the best food with no synthetics, made of whole foods. We encourage to you continue feeding the same food.

Full Legal Name *

Today's Date *

Dog Preference: *

Thank you for considering a rescue dog for your next family member!!