Adoption Application
This is an application only. Second Chance volunteers are here to assist you, but they are unable to make on-site adoption decisions. This is to ensure that all applications received to date are considered and that adoptions are not made impulsively. The average processing time is 2-4 days, depending on volume, and due to the fact that all volunteers work full-time jobs. In the event that several applications are received for one animal, the home that best meets the needs of that animal will be notified. You will only be contacted if your application is selected.

Adopting an animal is an important decision – a life-long commitment – and one that should not be made without serious thought and honest consideration. Applicants genuinely concerned about the welfare of rescued animals understand and support the 2-4 day processing time. Thank you for your interest in adopting a Second Chance animal.

We regret that we cannot adopt to anyone located more than a 1 hr drive from Canton, OH
Sign in to Google to save your progress. Learn more
Email *
Your name(First and last):
Your full address (street and city):
Home/ cell phone number:
Where do you work: (Spouse's employer-if applicable)
Work phone number:
I am interested in adopting the following animal(s). Please provide the animal's name and animal's description. *
Sex *
Purpose *
Why do you want to adopt an animal? *
How many animals have you had in the last 10 years? *
Are they all still with you? *
If not, please explain. *
Have you ever surrendered or given up an animal?
Clear selection
If you had to surrender or give up an animal, please explain below:
Do you presently have any animals? *
If so, how many and what kind? *
Have you adopted from Second Chance before? *
If so when? *
Who did you adopt? *
Have you applied with Second Chance before? *
Who is (or will be) your veterinarian? *
May we contact them? *
Veterinarians Phone *
Are/were your animals spayed and/or neutered? *
Your current pets live: *
Your new pet will live: *
Do you have a fenced-in yard? *
Height of fence (if you have one):
Clear selection
Is your yard fully enclosed by the fence (if you have a fence)?
Clear selection
If not, are you willing to leash walk if adopting a dog? *
Where will your new animal stay when you are at work? *
Where will your new animal stay when you are on vacation? *
Where will your new animal sleep at night? *
Does anyone in your house have an allergy to animals? *
Required
Are you an animal breeder? *
If yes, what breed(s)? *
List the ages of children living in your home. *
List the ages of children frequently visiting your home. *
Have these children been around animals before? *
How will you correct inappropriate behaviors for a dog? *
How will you correct inappropriate behaviors for a cat? *
How will you house train your dog? *
Do you own or rent one of the following? *
If you live in a rental property, please provide the contact information for your Landlord/property manager below. Include: Name, Address & Phone *
Are your current cats declawed?
Clear selection
Would you declaw your newly adopted cat?
Clear selection
Does anyone smoke in your home? (In case a special needs animals may have respiratory issues.)
Clear selection
Who will be responsible for care of the animal? *
Under what circumstances would you give up your newly adopted pet? *
Contacts: Please list two (2) contacts. Contacts should be close friends or relatives not living at your address. Please do not use employers as contacts.  Your application will not be considered without two contacts. Make sure to include their Name, City/State, email, and phone. *
Please Review
Please review your application before submitting it. Incomplete applications will not be considered. Remember, you will ONLY receive a phone call/email is you will be the adopting family.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms