Adoption Application

Adoption Application

Thank you for your interest in adopting from Purebred Rescue Organization of Ohio! We require all adopters' current dogs to be spayed/neutered, up to date on all vaccines (rabies, bordetella, distemper/parvo, at minimum), and current on monthly heartworm prevention medication, unless otherwise recommended by your veterinarian. It is important that you make us aware if your dog(s) is unaltered or unvaccinated, so that we can help match you with the best possible fit for your family. Please keep in mind we are an all-volunteer organization and cannot respond to every application. We will contact you if you are selected for a meet and greet, or if we need further information to process your application.
Dog's Name or breed of dog applying to adopt?*
What gender do you prefer?*

MaleFemaleEither
What is your age preference?*
Applicant FULL Legal Name*

First NameMiddle NameLast Name
Applicant Date of Birth*

MonthDayYear
Co-Applicant FULL Legal Name

First NameMiddle NameLast Name
Co-Applicant Birth Date

MonthDayYear
Address (no P.O. Boxes please)*

Street Address

Street Address Line 2

CityState

Zip Code
County of residence*
If you've lived in your current address for less than a year, please provide previous address.

Street Address

Street Address Line 2

CityState

Zip Code
Mobile number*

Area CodePhone Number
Best time to call?*
Alternate number

Area CodePhone Number
E-mail*
I understand that I must travel to the location of the dog to adopt. We do NOT ship our dogs. This is not negotiable AND the adoption contract requires you return the dog to the same location should it not work out. Are you willing to travel in person to the location of the dog as well as bring back if it's not a good match?*

YesNo
Please list all other household members other than applicants (name, relationship, and date of birth if 18 or older)
Do children visit your home?*

YesNo
If yes, please list ages and frequency
Please describe your regular work schedule, including whether you work from home or away from home, how many hours in a day you are typically away from home, and your plan for your dog(s) while you are at work.*
Is anyone in the household allergic to dogs?*

YesNo
Are all household members in favor of adopting a dog?*

YesNo
Type of home?*
Rent or own?*

RentOwn
If renting, please list your landlord's name and phone number. You must provide this info as we WILL contact your landlord to assure that you are allowed said dog and that they are aware you are looking.
Is your yard fenced?*
If yes, what kind of fence do you have and how high is it?
Have you ever owned a dog as an adult?*

YesNo
Do you currently own any dogs?*

YesNo
Do you currently own any cats?*

YesNo
Please list all current pets (Name, breed, age, gender, and if spayed or neutered)
Please list your vet's name and phone number. This should be the vet that can speak to your dog's vetting history, including dogs who have passed in the past 5 years. **You will need to contact your vet as soon as possible and authorize them to give us information. We WILL contact your vet as a vet reference.** We require adopters to have spayed/neutered personal dogs, and keep them current on vaccinations, heartworm prevention, and flea prevention, unless there is a medical reason otherwise, which will need to be confirmed by your vet.
Have you had any pets in the last 5 years that are no longer with you? If yes, please explain and list vet name/number who cared for them, if different than above.*
Are you willing/able to adopt a puppy mill survivor? (Please read information on PRO website if unsure)

YesNoWould like more info
How did you hear about us?
If you are not selected for the dog you applied for, would you like to be considered for other available dogs? If so, please include names of those dogs, or specific breeds, sizes, temperaments, etc, that will help us match you with a dog. *
Please provide a personal reference and phone number, for someone who knows you well and can speak to your character, as well as your ability to care for a dog in your home. *
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