» Adoption Application

A Note to Applicants

Dogs 1 year and older are available for an adoption fee of $300. Puppies under 1 year old are available for an adoption fee of $350.

Before submitting an application, please note: we are an all volunteer organization based in Westerville, Ohio. Unfortunately, we do not have the resources to travel long distances. To ensure that the pet is placed in a safe, comfortable and nurturing environment we require that one of our volunteers completes a home visit with any approved applicants. This is a critical part of our process.

We are currently reviewing applications within a 30 mile radius from Columbus, and from applicants age 22 and older. This does not mean your application will not be considered for a dog who has not been receiving many applications. We want to make sure all of our dogs find a good, forever home!

For dogs in the Canine-Inmate Program: After the home visit and approval, you will be given instructions on how to set up a meet and greet with the dog(s) at the Correctional Reception Center. This visit must take place Monday through Friday between 8:30 am - 2:30 pm. We apologize for any inconvenience this may cause but the facilities visitation policies are very specific.

We are grateful that you are considering a rescued pet for your next companion and encourage you to check with your local shelters and rescues. There are hundreds of homeless animals in need. We wish you the best in your search.

Personal Information

Your Full Legal Name*

First Middle (or Initial) Last

Nickname

Maiden or Birth Name*

Please provide your maiden or birth name if it is different than what is listed above. (If not different, just say "same".)

Date of Birth (applicants must be 22 years old or older)*

Current Address*

Street Address Address Line 2 City State ZIP Code

County*

Please select the county you live in.

County (not country)*

If you selected "other/out of state" above, please list the county you live in here.

Length of time at current address?*

Years

*

Months

Most Recent Previous Address

Please provide your most recent previous address if you have not been at your current address for 5 or more years.

Street Address City County State ZIP Code

Daytime Phone*

Evening Phone*

Other Phone

Best Time to Call*

Preferred Phone Number*

Valid Email Address*

Enter Email Confirm Email

I can make it to the CRC during the specified hours.*

You may be required to meet the dog you are applying for at the Correctional Reception Center (CRC). Please let us know if you will be able to go to the CRC Monday through Friday between 8:30 am - 2:30 pm.

If you selected "No" above, please explain.

About Your Household

List FULL LEGAL NAMES and DATES OF BIRTH of other adults (18 years old and older) in the household:*

Please include your spouse and list their maiden name (if applicable).

List ages of any children (under 18 years old) present in the household:*

Do you or anyone in your household suffer from pet allergies or asthma?*

Have you or anyone in your household ever been convicted of a felony OR a crime against animals?*

If yes, please explain.*

Have you or anyone in your household ever been evicted from a residence?*

If yes, please explain.*

Which of the following best describes your residence?*

If you rent, please provide the name, address and phone number of your landlord.*

Do you have a fenced-in yard?

If yes, please describe type and height of fence.*

Pet Information

If applying for specific pet(s), please tell us the name(s).

Please let us know if there is a certain dog you are interested in, if your application and home visit are approved we will work with you to find the best forever friend for your family. We receive several applications every day so the dog you apply for may not be available at the time of your approval however we are receiving new dogs into our program almost every week.

What type of pet are you looking for?*

Size:*

Sex:*

Is this pet a gift for someone else?*

Reason for wanting a pet:*

Will you keep this pet inside or outside?*

If outside, for how long of a period of time?*

If outside, what housing/provisions do you plan to provide?*

Where will the pet sleep?*

How many hours per day will the pet be alone now?*

How many hours per day will the pet be alone once you return to your normal (post-quarantine) schedules?*

Where will the pet stay while you are not at home?*

Who will be responsible for the care of the pet on a daily basis?*

Will the pet travel with you when you leave town?*

If no, where will the pet stay while you are out of town?*

Are you willing and able to spend $500 or more on emergency veterinary care for your adopted pet, if necessary?*

If not already completed at the time of adoption, will you agree to spay/neuter your adopted pet?*

In the event that you should become unable to care for the pet, what are your plans for their care?*

Current and Past Pets

Please list any current pets in the home (name, breed, sex, inside or outside, age and county license number, if known):*

Please provide the name of your current vet, or most recent vet if you do not currently have any pets:

Veterinarian Phone Number*

Veterinarian Address*

Street Address City State / Province / Region ZIP / Postal Code

Have you had pets in the past other than those listed above?*

If yes, where are they now?*

Additional Information

Please provide the name and phone number of a personal reference:*

Additional comments or information you would like for us to know:

How did you find out about ADOPT Pet Rescue?*

If you selected other above, please explain:

Terms & Conditions:*

Check this box to show that you have read and agree to the terms below.

By clicking the submit button, you are indicating that, to the best of your knowledge, this application is complete and truthful. Note that your application will not be processed if any information is missing. You are also giving permission for us to verify the information you have supplied and to contact current and past veterinarians, if applicable.

Filling out an application does not guarantee approval, and A.D.O.P.T. Pet Rescue reserves the right to deny any application at our discretion. It is our goal to place animals where we feel they would best thrive, not necessarily in the order the applications are received.

By submitting an application, you authorize ADOPT to add your email to our email list. You may unsubscribe at any time.

We are an all-volunteer organization, so please allow seven to ten days for processing. If you have further questions about the status of your application after this time has passed, please feel free to contact us at [email protected].

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