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ODCHS HOME
Adoption Application
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2015 Make a Difference Day
2015 Claybank Jamboree
2015 Pet Parade
2014 Claybank
2014 Pet Parade Photos
2014 Bingo at Our Place
2014 Open House
2013 Open House
2013 Pet Parade Pictures
Tractor Supply 8.17.2013
Girl Scouts Lend a Hand 6.8.2013
Christmas Parade 2012
Pet Parade 2012
Helpful Links
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
ODCHS HOME
Adoption Application
How to Help
Smile.Amazon
Volunteering
Our Wish List
Look What You Did
Maverick
Camille & Caroline
Schatzi
Reggie
Casey
Peta
Ceeby
Freeman
Roussey
Ellie
Ms Mac
Pumpernickle
Chewie
Benny
Baxter
About ODCHS
Mission Statement
A Little History
Contact Us
Directions
Hours
Newsletter Archives
Success Stories
Braveheart
Dee Jay
Calamity Jane
Spirit
Photo Albums
Painting for Pets
2016 Crawdad Festival
2015 Make a Difference Day
2015 Claybank Jamboree
2015 Pet Parade
2014 Claybank
2014 Pet Parade Photos
2014 Bingo at Our Place
2014 Open House
2013 Open House
2013 Pet Parade Pictures
Tractor Supply 8.17.2013
Girl Scouts Lend a Hand 6.8.2013
Christmas Parade 2012
Pet Parade 2012
Helpful Links