Adoption Application - ODCHS

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For an application to print, complete, and mail or deliver in person, click here.

Companion Animal Adoption Application

* Indicates required field

I am interested in adopting a *

Dog Cat

Name of animal(s) interested in adopting? *

Your Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Are there any pets in the residence now? *

How many? If you have more than 3, please add them to the Comment section. *

If more than zero, pet's name, breed, age, and gender must be completed.

First Pet's Name *

Breed *

Age *

Gender *

Male Neutered Male Female Spayed Female

Second Pet's Name *

Breed *

Age *

Gender *

Male Neutered Male Female Spayed Female

Third Pet's Name *

Breed *

Age *

Gender *

Male Neutered Male Female Spayed Female

Have you had any other pets in the last five (5) years? *

Yes No

If you have had other pets in the last five years, how many? *

What happened to those pets? *

Where will the pets be living? *

Inside Outside Both

Is your residence a *

House Mobile Home Duplex Apartment or Condo Townhouse

Do you *

Own Rent

If renting, landlord's information must be provided.

If renting, please provide your landlord's name, address, and phone number *

If renting, may we contact your landlord regarding his/her policy on pets in rental properties? *

yes no

How long have you lived at your current residence *

Less than 1 year 1 - 2 years 3 - 4 years 5 or more years

How many adults live in the residence? *

1 2 3 4

How many children live in the residence? *

0 1 2 3 4 5 6 or more

Ages of children in residence? *

1 and under 2 - 3 4 - 5 6 - 8 9 - 12 13 and up

Is anyone in the house allergic to dogs or cats? *

yes no

Have you ever adopted from a shelter or humane society? *

yes no

Why do you want to adopt this pet? *

Have you ever taken an animal to a shelter or pound and if yes, why? *

What will you do with this pet if you move? *

Do you have a fenced yard and if so, what type? *

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

less than 2 2 - 4 4 - 6 more than 6

Current Veterinary Office and Phone # *

Comments: *

By clicking SUBMIT, you agree all statements made on this form are true. If it is found out that any statements made on this form are not true, you understand your application for adoption will not be considered. *

I agree

Submit

We appreciate your support.

ODCHS • PO Box 2502 • Ozark AL 36361
334.774.PETS (7387) • 8:00 a.m. to noon • Everyday
All proceeds benefit the animals in our care.
As a registered 501(c)3, (not for profit) organization, all donations to the ODCHS are tax-deductible. Refunds will be handled at the customer's request by emailing [email protected].
We thank you for your support.
Find us on petfinder.

ODCHS HOME
Adoption Application
How to Help
Look What You Did
- Maverick
- Camille & Caroline
- Schatzi
- Reggie
- Casey
- Peta
- Ceeby
- Freeman
- Roussey
- Ellie
- Ms Mac
- Pumpernickle
- Chewie
- Benny
- Baxter
About ODCHS
Newsletter Archives
Success Stories
Photo Albums
Helpful Links