Adoption Application
What dog are you interested in?
Your answer
Applicants First & Last Name
Your answer
First and Last Name (s) of all adults in home with their date of birth: Include all those who will have regular contact with the animal /s (family,friends,domestic employees,etc) Please separate with commas.
Your answer
Driver's License # and State of any & ALL adults in home. Including applicant separate by commas.
Your answer
Date of Birth: you must be 22 years or older to adopt from us. We will do a public records search to verify birthday.
Your answer
Home phone
Your answer
Cell Phone
Your answer
Work Phone
Your answer
Email
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Address - Please note we will only accept applications from Ohio residents
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City
Your answer
Zip
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County
Your answer
How man people live in your home? Children? Ages?
Your answer
How long have you been at this address?
Your answer
If you have been at your current address less then 2 years, please give us your previous address as well, and how long you were there: Please separate by commas
Your answer
Do you Rent or Own Your home?
If you rent does your landlord allow big dogs?
Do you have a fenced in yard? If so how tall? If not what are your plans for exercise needs?
Your answer
Why do you feel this dog will be a good fit for your home?
Your answer
Any additional information we should know about your household?
Your answer
Do you have any current pets in your home?
If you have pets in your home please list name,age,breed,and temperament
Your answer
Current ,vet name & number. we will be calling to make sure vaccinations of current pets are up to date.
Your answer
Where will the dog stay when you're away and how many hours a day would your pet be alone
Your answer
where will the dog sleep?
Your answer
Where will the dog go if you move?
Your answer
List 3 references,(not family) name number, relationship and how long you have known them.
Your answer
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