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.
Phone Number
Please enter a valid phone number.
Preferred Puppy Gender
Male
Female
No Preference
Do you own or rent your home?
Own
Rent
Are all the adults in the household in agreement to get a new puppy?
Yes
No
How many hours a day would your puppy be alone?
Is anyone in your household allergic to dogs?
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?
I agree to spay / neuter this puppy by 13 months of age.
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 pickup 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 my puppy. The 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
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