Form
Hemlock Pines Pomsky Application
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred puppy gender
Male
Female
No Preference
Do you have a fenced yard?
Yes
No
Do you own or rent your home?
Own
Rent allowed dogs
Rent not allowed dogs
How many hours a day would your puppy be alone?
Are all the adults in the household in agreement to getting a puppy?
Yes
No
Is anyone allergic to dogs in your household?
Yes
No
Are you already established with a veterinarian?
Yes
No
Tell us about the people and pets in your household.
How do you plan on training your puppy?
Do you agree to spay/ neuter your pomsky by 13 months?
Yes
No
Describe your first choice and second choice of what you desire in colors, size and personality of a pomsky puppy.
Will you be able to pick up your puppy in Venus, Pennsylvania at 8 weeks of age?
Yes
No
I understand that the $500 retainer fee is non-refundable but goes towards the total cost of the puppy. This retainer fee is only transferable towards other Hemlock Pines Litters.
Yes
No
I agree to not rehome or surrender this puppy. If I can no longer keep the dog for any reason I will contact Hemlock Pines first and agree to return it to them.
Yes
No
Signature
Submit
Should be Empty: