Pembina Valley Humane Society Pembina Valley Humane Society
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Five dogs in a row
Home Adopt a DogAdoption Form – Dogs

Adoption Form – Dogs

"*" indicates required fields

(if rural, list both physical & mailing address)
What is your age?*
We use this information to help determine the best fit for the dog and your family.
Did all household members participate in this decision?*
Why do you want to adopt?*
Is the recipient aware of this gift?*
Do you live in a:*
Do you:*
Is your rental/condo pet-friendly?*
Do you have a copy of your rental/lease agreement?*
Drop files here or
Max. file size: 32 MB.
    Use this to upload your rental/lease agreement
    Download Landlord Pet Approval

    PVHS Policy

    Our policy does not allow for an adoption to a home where a pet is not permitted. Please download the Landlord Agreement Form to get consent and reapply. Download Landlord Pet Approval

    (example: calm, housetrained, athletic, affectionate, good with cats/kids/dogs, etc.)
    Your dog will be kept mainly:*
    Where will the dog sleep at night?*
    Main type of confinement (choose all that apply):*
    Overnight type of confinement (choose all that apply):*
    Fence Height:*
    How many pets do you currently live with?*
    (Dogs, Cats, and/or Other)
    Have you confirmed the number of pets the by-law allows in your city/town/RM?*
    (Required for adoption)
    Are your pets spayed/neutered?*
    Are your pets up to date on vaccines?*
    Have you ever had to return or re-home a pet?*
    (Enter N/A if not applicable)
    A dog can live well over 10 years and requires a major amount of time, exercise, finances and emotional stimulation. Do you feel you can make that long-term commitment at this time?*
    Please check off all areas you would like to discuss with the shelter's staff:*

    References

    *Only 1 reference can be a relative & that relative must not live with you. All references must be 18 years of age or older.* <

    > **If references do not call back within 72 hours of initial contact we will move on to the next applicant**

    Reference #1

    Reference #2

    Veterinarian

    I certify that the information given on this form is true and correct and I recognize that any misrepresentation of facts will result in my being unable to adopt a pet from PVHS. I understand that submission of this application does not guarantee adoption and that approval or denial of this application is at the sole discretion of PVHS.

    This field is for validation purposes and should be left unchanged.
    pvhs logo

     The Pembina Valley Humane Society is a volunteer-run, non-profit organization serving the communities within the Pembina Valley and beyond.

    Charitable # 852072370RR0001

    Shelter Hours

    Mon: Closed
    Tue: 12PM-6PM
    Wed: 12PM-7PM
    Thurs: 12PM-7PM
    Fri: 12PM-5PM
    Sat: 12PM-5PM
    Sun: Closed

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    (204) 822-9413
    hello@pvhsociety.ca

     

    462 Jefferson Street
    Morden, MB  R6M 1Y4

    The PVHS is located on the original lands of the Anishinaabeg, Cree, Oji-Cree, Dakota and Dene peoples, and on the homeland of the Métis Nation. We respect the Treaties that were made on these territories, we acknowledge the harms and mistakes of the past, and we dedicate ourselves to moving forward in partnership with Indigenous communities in a spirit of reconciliation and collaboration.



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