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 *
Your answer
Address - Please note we will only accept applications from Ohio residents *
Your answer
City *
Your answer
Zip *
Your answer
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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