Hickory Hill Canine Rescue Adoption Application

We are committed to finding permanent, responsible, and loving homes for our rescue pets. Hickory Hill Canine Rescue reserves the right to adopt to homes it deems suitable for the pet based on the applicant’s history and factors including: temperament, family, lifestyle, yard and housing needs. Animals will not be adopted to anyone running a daycare program for children out of their home. All animals of age will be altered by Hickory Hill Canine Rescue before going to their new home. All animals must be altered by the age of 6 months by Virginia State Law. You must be at least 18 years old to adopt an animal. Please be aware that the adoption process may take a while and the adoption may not occur today. Home visits may be requested and follow-up visits may occur.

Date of Application:

If interested in a specific animal please list:   Name:    ID Number


Street:      Apartment: