ADOPTION APPLICATION

What is the phone number of your vet?

Email Address for Reference #2 *

Address *

Are you at least 18 years old? *

Yes

No

How did you hear about us?

What do you feel is a good reason or reasons to return an adopted dog? *

Is there anything else you'd like to tell us about you and your family to help us in deciding if one of our dogs will fit into your home?

One of the requirements of adopting from our rescue is having a home visit done prior to or at the time of adoption. Are you okay with this? *

Yes

No

Need to discuss this with you

Are there children living in the home? *

Yes

No

Custody arrangement

Email Address for Reference #1 *

Home Phone / Landline

If you are over 70 years old, please describe your support system. Also, please explain who will take care of your dog should you get sick, end up in the hospital, or end up in extended care where you can't have your dog with you.

Name: *

Have you ever turned a dog into a pound, shelter, humane society, or rescue before? *

Yes

No

Phone Number for Reference #2 *

Relationship to Reference #1 *

If you answered "yes" or "custody arrangement" to children living in the home question, please list the children's names, ages, and how often they're in the home (every day, weekends only, etc.)

What OHIO dog are you interested in? *

How long have you been looking for a dog? *

If you've been approved with another rescue, who is your point of contact there? Please list name and email adders and phone number

Relationship to Reference #2 *

How would you best describe you and your family's relationship with a dog? *

Email Address *

Have you applied at another rescue? *

Yes

No

I understand my application can be denied for ANY reason and Mini Mutts does not need to disclose why the denial. *

I understand

Do you have a COMPLETELY fenced in yard? *

Yes

No

In process of building one now

Will have one by the time we adopt a dog

REFERENCES

State *

Are you familiar with crate training? *

Yes

No

Willing to learn

If you used to have a dog(s) and no longer do please explain why. *

Have you ever adopted a dog from a pound, shelter, humane society or another rescue before? *

Yes

No

Reference #3 *

Should I be approved and adopt a dog from Mini Mutts Rescue I understand that a representative of Mini Mutts Rescue may follow up with me via texts, emails, phone calls, or visits, to ensure the dog is doing well and we're not having any issues. *

I understand and agree

Is someone home during the day? part of the day? Please explain how the dog will be taken care of during the day. *

Reference #2 *

Where have you looked for a dog so far? *

Do you have a preference for male or female? *

Male

Female

Doesn't matter

If approved to adopt a dog from us, do you agree to take your new dog to your vet within 2 weeks of adoption to give your vet records, do another general checkup, and start your new dog on a heartworm prevention and flea control program? *

Yes

No

Should I need to return a dog I adopted from Mini Mutts I must give Mini Mutts at LEAST TWO WEEKS time to arrange for the return of the dog. It is MY responsibility to bring the dog back to Mini Mutts Rescue. *

I understand and agree

I understand the adoption fee is NON REFUNDABLE. Should I need to return the dog I adopt for ANY reason I will NOT get my adoption fee back. *

I understand and agree

I understand that others may be interested in the same dog as me and filling out this application doesn't guarantee me the dog. *

I understand

Reference #1 *

Phone Number for Reference #1 *

Zip *

Cell Phone

If you have a fence, please describe type and height.

Is everyone in agreement in getting a dog/another dog? *

Yes

No

Still trying to convince everyone

If you rent, can you provide proof in your lease/rental agreement that you're allowed to have a dog/another dog?

Yes

No

Need to discuss this with you

Are you over 70 years old? *

Yes

No

Relationship to Reference #3 *

City *

What is the name of your vet?

How many adults are living in the home? *

Do you own or rent? *

Own

Rent

Have you owned dogs before or do you currently own a dog? Please give details. *

Phone Number for Reference #3 *

Email Address for Reference #3 *

If you answered "yes" to adopting from another shelter, pound, humane society, or rescue before, please list the name of the place and person you adopted from.

If you have turned a dog in, please explain why?