First Name*

Last Name*

Email*

Zip*

Home Phone

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Which of our awesome dogs are you interested in adopting?*

Tell us a bit about your family. For example, are there young children in the home? How many adults are there? Are you an active family or more low-key?*

Do you currently have pets? Please tell us about them! (likes, dislikes, etc...)*

We have all types of dogs available for adoption, but some need a little more companionship than others. How many hours per day might your dog be left alone?*

What are you looking for in a new canine family member? Are there any personality, age or other preferences you would like us to know about?*

Our dogs come from widely varying backgrounds. Some need just the basics (food, water, love, ect...) while others need a "little extra." Would you be interested in adopting a dog that needs a "little extra?"*

HSSV offers special adoption pricing for Veterans and when Senior citizens adopt senior pets. Do either of these apply to you?* YesNoNot sure

How did you hear about our foster program? search engine (google, yahoo, bing) from an hssv volunteer or staff member facebook twitter instagram HSSV email HSSV website previously adopted from HSSV recommended from a friend

I would like to receive email communications from HSSV. Yes

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