Dog Adoption Application

Tell us about yourself:

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Family Pet
Guard Dog or Protection
Hunting
Gift
Other
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House
Apartment
Condo
Mobile Home
Other
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Own
Rent
Live With Parents
Other

What are you looking for?

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Indoors
Outdoors
Barn
Garage
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Indoors
Outdoors
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Fully Fenced Yard
Dog Run
Tied Up
Crate or Kennel
Loose on Property
Undecided
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References:

*Only 1 reference can be a relative & that relative must not live with you. All references must be 18 years of age or older.*

Reference #1:

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Reference 2

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Please check off all areas you would like to discuss with the shelter manager
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I certify that the information given on this form is true and correct and I recognize that any misrepresentation of facts will result in my being unable to adopt a pet from PVHS. I understand that submission of this application does not guarantee adoption and that approval or denial of this application is at the sole discretion of PVHS.