Ross County Humane Society

Breed

Mixed Breed

Name

Ubba

Birth Date

1/30/2020

Color

Tan

Gender

Male

Reference ID

10109

I am interested in this Mixed Breed

740-775-6808

Personal Information
Name*
First Last
Phone*
Email*
Spouse's Name (If Applicable)
First Last
How many children live in your home? Ages?*
Are there any others residing in your home?*
Employer Name*
How long have you been there?*
Residential Information
Address*
Street Address Address Line 2 City State / Province / Region
How long have you been there?*
Is this where the pet will live with you?*
Do you own or rent? If you rent, you MUST provide Landlord name and contact phone number. If renting, have you obtained authorization from your landlord to have a pet?*
Do they have breed or weight restrictions?*
Other Adoption Information
What dog are you interested in?*
What do you think makes this particular pet a good choice for you?*
Have you had experience with this particular breed? If so, please tell us about your experience.*
What happens to your pet if you move?*
Do you have a fenced yard? Please describe (yard, size, fence, height):*
How will you exercise your pet?*
How many hours are you away from home during the average work week?*
Where will your pet be kept during that time?*
Where will your pet be sleeping during the night?*
What kind of other pets do you have at home? Please list name, age, etc.*
Veterinarian's name and phone number:*
Are all pets current on vaccines and spay/neutered?*
Does anyone in your household have allergies/asthma?*
Have you or anyone in your household ever been convicted of animal cruelty, neglect or abandonment?*
Have you ever surrendered an animal to an animal shelter? If yes please describe the circumstances.*
Have you ever had to give up a pet? If yes, please explain.*
How would you handle a situation where your animal developed a behavioral issue?*
Are there any other comments you would like to make to help us make a decision to approve your application for adoption?*
I understand that by submitting that I certify that all information provided on this form is true to the best of my knowledge. I give Ross County Humane Society or their named representative to verify the information I have provided. I understand that incomplete applications or any false/deliberate misrepresentation of the facts will result in the denial of this application. I understand that Ross County Humane Society has the right to deny an application for any reason.*

Ubba

I am interested in this Mixed Breed

Personal Information

Residential Information

Other Adoption Information

Sign up for our Newsletter