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Hollow Creek Farm Adoption Application
Dog Adoption Application
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* Indicates required question
Name of Dog you are applying for
*
Your answer
Your Name
*
Your answer
Your Address (street, city, state, zip)
*
Your answer
Your Email Address
*
Your answer
Your Phone Number
*
Your answer
Check those that apply that you will provide for the dog in your home.
*
Fenced Yard
Tie Out line
Crate
Full Indoor Access
Outdoor Only
Other:
Required
Vet Reference - Name and Phone number
(We will contact them to process your application)
*
Your answer
Names, Ages, and Types of other pets in your home currently or in the recent past. And the reason they may no longer reside in your home.
*
Your answer
Are your current pets all spayed/neutered and up to date with vaccinations?
*
Yes
No
No Current Pets
Other:
Do you rent your home? If so we will need to contact your landlord. Name and phone number for Rental Office or Landlord.
Your answer
How many hours will the dog be left unattended each day?
*
Your answer
Are there children in your home? If so please list the ages of the children. (Not all dogs are suitable for children).
Your answer
Tell us a little about yourself and your experiences with dogs.
*
Your answer
Would you object to a home visit by an HCF volunteer?
*
yes
no
Tell us why you are interested in this particular dog.
*
Your answer
Signature and Submission Date
*
Your answer
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