Our shelter is in Ohio
There are shelters with similar names in other states, so please be sure you are contacting the correct shelter. Thanks! Also, if you don't hear from us, *please check your junk/spam* folders! We are volunteers, so we work at various times.
Animal Name:
*
Name
*
First Name
Last Name
Age of adopter:
*
Street address:
*
City:
*
State:
*
ZIP:
*
Primary phone
*
Format: 000-000-0000.
E-mail address
*
Confirmation Email
Do you rent or own?
*
Please Select
Rent
Own
You've lived at this address for how long?
*
If you rent, does your lease allow pets?
*
Please Select
Yes
No
Not applicable
How many pets are allowed on lease?
*
Do you live in a house, condo, apartment, mobile home?
*
Is your yard fenced, and what is the approximate size?
*
Do you currently own other pets?
*
Please Select
Yes
No
Please list breed, sex, and age of current pets:
*
Have you previously owned pets?
*
Please Select
Yes
No
What breed/types have you owned in the past?
*
How long did you have the pet(s), and where are they now?
*
Are your pets spayed and/or neutered? If not, why not?
*
Are your current dogs licensed? If not, why not?
*
Are your pets current on vaccinations? If not, why not?
*
Have you ever taken a pet to the pound? If yes, please explain.
*
Do you have children who live in your household?
*
Yes
No
Do you have children who will frequently spend time with your pet/s?
Yes
No
What are the child/children's ages and relationship to you?
*
Is anyone in your household allergic to animals? If so, who is allergic and to what type of pet?
*
Why are you interested adopting in this pet?
*
Is this pet a gift for someone? If so, whom?
What is your preferred level of exercise for a dog?
*
Couch potato
Yard exercise
Short walks
Vigorous walks
Other
Where will the animal be kept?
*
When inside, how do you plan to keep your pet? Check all that apply.
*
Free inside house
Confined to a crate
Inside a closed room
Other
When outside, how do you plan to keep your pet? Check all that apply.
*
Not applicable; indoors only
Tie-out chain
Garage
Patio area
Invisible fence
Fenced yard
Outside dog run
Leash and regular walks
Loose in yard, unattended
Other
Who will be responsible for medical and/or training costs?
*
Current or past veterinary facility and its phone number:
*
Where did you first learn of the available animal?
*
Petfinder.com
Facebook
Another website
Search engine
Newspaper
Suggestion from friend
Advertisement
Instagram
Twitter
Other
Comments or Questions?
Submit
Should be Empty: