Potomac Valley Pekingese Club

Rescuing Pekingese in Need for Over 20 Years

Description of the Proposed Adoption Environment
Number of individuals in the household:
Experience and Knowledge
Veterinarian Information:
If you previously own or currently own pets this is required.**


Virginia Law:  The Commonwealth of Virginia has enacted certain requirements for rescued animals,

including household pets. Please note the following. By signing this document on the reverse, you are agreeing to the following provisions. You must:

  1. Keep adequate records of the adoption, medical treatment, ownership changes, etc.
  2. Provide adequate care under the law, and if it becomes necessary, humane  euthanasia.
  3. Ensure the animal is sterilized (PVPC rescued Pekes are sterile.)

Please read the following before signing/submmitting: Unless otherwise stated prior to the adoption, the Pekingese you may adopt from PVPC, INC., will be medically current on all routine inoculations and heartworm medication. PVPC's objective is to ensure that all Pekingese offered for adoption are healthy and disease-free.  To that end, PVPC has paid for all medical procedures necessary to address a specific medical condition.  To help us continue our work, a donation in the suggested amount of $200 to $350 is asked for the Peke. The fee is decided by the rescue committee and is based on health and age. Applicants release the PVPC to confirm the validity of the information provided herein, including contacting the veterinarian listed and by having a satisfactory in-house visit. Applicants understand and agree that PVPC reserves the right to refuse any applicant and agree to hold harmless the PVPC officers and members if their application for adoption is refused


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