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Adoption Application
We're happy you're interested in adopting one of our animals. Please fill out the form below to begin your application.
(*) = REQUIRED FIELD; MUST be completed to process the form. If a field is not applicable to you, indicate this with (N/A).
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)
*
Month
1
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2025
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1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Current Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
County
*
Please select the county you live in.
Adams
Allen
Ashland
Ashtabula
Athens
Auglaize
Belmont
Brown
Butler
Carroll
Champaign
Clark
Clermont
Clinton
Columbiana
Coshocton
Crawford
Cuyahoga
Darke
Defiance
Delaware
Erie
Fairfield
Fayette
Franklin
Fulton
Gallia
Geauga
Greene
Guernsey
Hamilton
Hancock
Hardin
Harrison
Henry
Highland
Hocking
Holmes
Huron
Jackson
Jefferson
Knox
Lake
Lawrence
Licking
Logan
Lorain
Lucas
Madison
Mahoning
Marion
Medina
Meigs
Mercer
Miami
Monroe
Montgomery
Morgan
Morrow
Muskingum
Noble
Ottawa
Paulding
Perry
Pickaway
Pike
Portage
Preble
Putnam
Richland
Ross
Sandusky
Scioto
Seneca
Shelby
Stark
Summit
Trumbull
Tuscarawas
Union
Van Wert
Vinton
Warren
Washington
Wayne
Williams
Wood
Wyandot
other/out of state
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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Daytime Phone
*
Evening Phone
*
Other Phone
Best Time to Call
*
Preferred Phone Number
*
Select One
Daytime
Evening
Other
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.
Select One
Yes
No
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?
*
Select One
Yes
No
Have you or anyone in your household ever been convicted of a felony OR a crime against animals?
*
Select One
Yes
No
If yes, please explain.
*
Have you or anyone in your household ever been evicted from a residence?
*
Select One
Yes
No
If yes, please explain.
*
Which of the following best describes your residence?
*
Select One
House (Own)
House (Rent)
Apartment (Own)
Apartment (Rent)
Condominium (Own)
Condominium (Rent)
Farm (Own)
Farm (Rent)
Mobile Home (Own)
Mobile Home (Rent)
Other
If you rent, please provide the name, address and phone number of your landlord.
*
Do you have a fenced-in yard?
Select One
Yes
No
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?
*
Select One
Adult Dog
Puppy
Adult Cat
Kitten
No Preference
Size:
*
Sex:
*
Select One
Female
Male
No Preference
Is this pet a gift for someone else?
*
Select One
Yes
No
Reason for wanting a pet:
*
Will you keep this pet inside or outside?
*
Select One
Inside
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?
*
Select One
Yes
No
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?
*
Select One
Yes
No
If not already completed at the time of adoption, will you agree to spay/neuter your adopted pet?
*
Select One
Yes
No
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?
*
Select One
Yes
No
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?
*
Select One
Google Search
Petfinder.com
Newspaper Ad
Friend/Referral
Adoption Event
Other
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 adoptions@adoptpetrescue.org.
Name
This field is for validation purposes and should be left unchanged.