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Ross County Humane Society
Ross County Adoption Application
Please Provide Your Birthday
What dog are you applying for?
What traits are you looking for in a pet?
Companion for another pet
Your veterinarian's Name and Phone Number
Please advise what name your pets are under at the vet's office and that you have contacted the office to allow them to release information to us
Please advise what other animals are in the home. Name, Breed, Altered, Disposition.
How much time will the animal spend alone during the day?
Will the animal be kept inside or outside
Inside and Outside
Where will the animal be kept when you are not home?
Where will the animal be kept when you are home?
Where will the animal sleep?
Describe how you will train the pet.
Why are you interested in adopting a pet at this time?
Have you ever given up a pet? If yes, please explain.
List three references (who are not family members): Please provide name and phone number.
How did you hear about us?
Is your yard fenced?
What is the height of your fence?
What type of fence?
In what type of home do you live?
Do you own or rent your home?
Who in the household will care for the pet?
How many people reside in your household?
How many children are living in the home? Ages?
If you rent, have you received the approval of your landlord to have an animal?
If you rent, please enter your landlord's name and phone number.
Have you applied with any other rescue?
I certify that the information entered on this applicant is true. Enter your name and date.
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