Adoption Application E-Form

Thank you so much for expressing interest in adopting a rescue Pomeranian from us. our message has been sent

If you’re application matches with an available foster, one of our volunteers will follow up to review who is available. Follow us on our website, Instagram, and Facebook to keep up to date on who is currently available. Thank You!

Name(required)

Email(required)

Phone

Street Address(required)

City, State, Zip(required)

Who are you interested in?(required)

What attracted you to this particular Pom?(required)

How did you hear about us?

Have you ever owned a Pom?

Yes No

What happened to them?

Why do you want a Pom?

What do you know about the breed?

If you rent, please provide the name and phone number of your landlord

Do you have children?

Yes No

Ages?

Do you have a fenced yard?

Yes No

Is someone home during the day?

Yes No

Do you have a preference?

Male Female None

How many dogs are currently in your home?

Which describes the kind of Pom you are looking for? (Select all that apply)

Young and Crazy! I want playful energy, lots of walks, and romping in the yard. A Little Spunky! I want to have someone next to me watching a movie, but also be ready for an outdoor adventure! Couch Potato! I want someone to loaf around the couch in my lap until it's time to go to bed!

Name and phone number of current veterinarian (if applicable)

Do you have any references who could recommend you for Pom ownership?

Please tell us anything else you would like us to know

PCCV

PCCV

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Thank you so much for expressing interest in adopting a rescue Pomeranian from us. our message has been sent

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