THE PIXEL FUND
We Believe Shelter Pets Rock!
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    Dog Adoption Application

    We are unable to do adoptions for residents of Massachusetts at this time. 
    Please complete all fields applicable to your application. Blanks fields will cause a delay in processing your application.
    Prior to approval of your application, we require a vet check on your existing pets, a landlord check, if applicable, and a home visit. Some home visits are conducted in person, while others are conducted virtually. I understand that if I rent and do not provide contact information for my landlord on my application, my application will not be processed.
    Applicant Information
    ATTENTION AOL USERS - Please add @thepixelfund.org to your "Safe List" to ensure you receive emails from us about your application. Thanks!
    Needs & Expectations
    Tell us about your current and previous pets...
    Veterinary Information
    Housing
    Dog Adoption Information

    Bringing a New Dog into Your Home

    Getting to Know You

    Release of Liability

    You will accept the animal and specifically release and hold harmless The Pixel Fund, Pixel’s Posse, Inc., and all of its agents, employees, directors, officers and volunteers from any and all claims and liability in connection with the animal for any reason, and you assume all risks and responsibilities for the care, transport, training and behavior of the animal, including any injury or damage it may cause to people, property or other animals, as well as any rules, regulations or requirements for the importation of pets into the state in which you reside (if you do not reside in Maine or Florida), and licensure and other local ordinances.

    No warranties of any kind, including but not limited to health, temperament, viability, age or breed are made by The Pixel Fund. After 5 days, the adoption/re-homing fee is non-refundable and non-transferable.  
    Agreement
    I/we attest that the information provided on this application is true and accurate to the best of my/our knowledge. I/we understand that completion and submission of this application does not guarantee adoption of a pet. I/we understand that any application and/or rehoming fee is non-refundable and is payable to cover the costs incurred by The Pixel Fund for shelter fees, veterinary care and medical attention, transport, and other expenses, including the care and feeding of its animals prior to adoption. No warranties are made regarding the health, history or temperament of this animal, express or implied. By signing below, you specifically agree that your veterinarian, landlord and employer may release information to The Pixel Fund only with respect to information necessary to process this application.

    By typing your name below, you electronically sign/agree to the terms and conditions outlined above.
    Please be aware: These applications are processed by volunteers who have full time jobs and families. It may take from 2-7 days to hear back from someone about your application. If we are unable to reach you by phone, we may send an email - so please check your junk mail or spam folders in case those responses end up there. Thank you for your patience and consideration of our volunteers.
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