Adopt a Dog

Dog Adoption Application

Thank you for your interest in adopting a dog from us! Please fill out the form below completely and we will get back to you as soon as possible.

Name *

First

Last

Email *

Address *

Home Phone

Cell Phone

Single Line Text

Which dog are you interested in? *

How many people live in your household? *

Are there children in the house? If so, please list ages. *

Does anyone in the household have allergies to animals? *

Do you own or rent? *

Own
Rent

If you rent, please give the name and phone number of your landlord.

If you move from this residence, what will you do with the dog? *

Have you ever had a companion animal before? *

If yes, please list current animals (indicate age, and whether they are spayed or neutered)

Also please list animals that you have cared for in the last 10 years that are no longer living with you: (are they deceased, if not where are they now?)

Are your animals current on vaccinations?

Please provide the name and number of your veterinarian:

Are you financially able to provide annual checkups, vaccinations, and any medical care necessary? *

Have you ever surrendered an animal to a shelter? If so, please explain the circumstances. *

Have you ever euthanized an animal? If so, please explain the circumstances. *

How do you plan to stop unwanted behaviors like pulling on the leash, barking, chewing, mouthing, or marking inside the house? Please explain. *

What behaviors or circumstances would cause you to return a dog? *

What is your family looking for in a dog? *

Where will the dog be kept at night? *

Where will the dog be kept while you are gone from the home? *

How many hours will the dog spend alone on average? *

Were your past dogs given heartworm prevention?

Please describe your yard. Is it fenced? Are you on a main road? *

Does your family have the time to provide daily physical and mental stimulation for a dog? *

Do you agree to contact Ohio Humane Association if you can no longer care for this dog? *

If necessary, would you agree to a scheduled home visit? *

Please list 2 personal references and their contact information:

Name

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