OUR CLIENTS | RATES

Name: State: Email: Zip Address: Phone: Work: City: Mobile: SS#: Drivers License #: # Children : Other Pets : Ages :     Fenced Yard : Yes No Pet will be kept: Indoors Outdoors Both Vet's Name Address: I agree to the following adoption terms: • To provide the dog/puppy with a safe and loving home; food; any required care - vet checkups, vaccinations, dental work, etc. • To arrange for care of the dog/puppy, including boarding, if necessary, during any absence (such as vacation) • Not to leave the dog/puppy chained in the yard nor leave the dog/puppy unattended • To neuter/spay (if applicable) • Not to give away, sell or otherwise dispose of this dog/puppy without express permission of PLF. Euthanasia, should it be advised by a veterinarian, would be the only exceeption to this. If I cannot comply with these terms, I agree to return the dog/puppy to Primrose Lane Farm Probable Breed Estimated Age : Gender Male Female Spayed/Neutered Yes No Vax: Special Care :

©2006 Primrose Lane Farm, LLC
primroselanefarm@comcast.net
Spring City, PA 610-310-1845