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Phone : 330-343-6060
Abuse Hotline : EXT1

Address: 1432 Tall Timber Rd NE
New Philadelphia, OH 44663

Hours: Mon, Wed, Fri-Sun (1pm-4pm)
Tue (1pm-7pm), Thu (Closed)

Dog Adoption Application Form

Apply to adopt a dog from the Tuscarawas County Humane Society.

About Dog Adoption

Thank you for your interest in our rescue program and for considering adopting one of our dogs. We created the following questionnaire to assist in finding the appropriate dog for you. We ask for your understanding in that we are by no means questioning your integrity. It is our sole intent to ensure your satisfaction and our animal’s welfare.

Please Note: to visit a dog outside of its kennel, an approved application must be on file. If not, visitors are always welcome to view TCHS’s dogs through their kennels.

Dog Adoption Application Form

This questionnaire is the first step in our adoption process. Please review the entire Adoption Process so you will be aware of the various steps involved in adopting a rescue animal. Please allow 3 to 5 business days for us to process your application. We appreciate your time and will contact you shortly.

Please fill out the form below to complete your dog adoption application:

Dog Adoption Form

Please Note: For your application to be considered, you must answer every question

Personal Information

Applicant's First Name

Applicant's Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

How long have you lived at this address?

If less than one year, please list previous address:

Address Line 1

Address Line 2

City

State

Zip Code

Country

Cell Phone #

Alternative Phone #

Dog Information - What are you looking for?

Interested in a specific dog? Please provide the animal's name.

What attracted you to this dog?

What are you looking for in a dog? (Active, mellow, good with children, etc.)

Are you willing to work with a dog on housebreaking/obedience?

Yes

What size of dog (when full grown) are you looking for?

What age of dog are you looking for?

Do you have a gender preference?

Male

Female

Either

Will this dog live inside or outside?

Inside

Outside

If outside, please explain the conditions the animal will be living in.

Pet Ownership History

Do you currently have other pets?

Yes

What are the names, species, breed and ages of your other animals?

Name	Species	Breed	Age (years)

Do your current pets get along with other animals?

Yes

If no, please explain

Veterinarian you plan to use

Vet Phone #

Vet Location

Name your vet records are under

*IMPORTANT: PLEASE CONTACT YOUR VET’S OFFICE TO AUTHORIZE RELEASE OF RECORDS. IF NOT DONE, THIS CAN PROLONG PROCESSING

How many pets have you owned in the past 10 years?

If you no longer have these pets, what happened?

Are your current pets spayed or neutered?

Yes

If not spayed or neutered, why?

Are your pets up to date on -

Vaccinations

Heartworm Testing/Prevention

Flea and Tick Prevention

If not up to date, why?

If you administer your own vaccinations, are you able to provide proof?

Yes

Have you ever had an animal impounded or picked up by animal control?

Yes

If yes, please explain why they were impounded or picked up by animal control

Your Household

Names and ages of all individuals living with you

Name	Age

Does anyone in the household have allergies?

Yes

If yes, please explain pet allergy situation

Ownership status -

Own

Rent

Rent to Own

If you rent, please list the name and phone number of your landlord/property manager or whomever is listed on the county auditor’s website:

*Important: if TCHS cannot contact your landlord in a timely fashion, this may prolong the processing of your application.

Is there breed or weight restrictions where you live?

What are the daily work schedules for the adults in your home?

How many hours a day will the dog be home alone?

Where will you keep the dog when no one is home?

Is your yard fenced?

Yes

If no, how will the dog go outside to use the bathroom?

If applicable please provide neighbor reference:

Agreement & Submit

I agree to the below agreements and application notes:

You agree to obey your local laws regarding an animal, e.g. leash laws
You will return the dog to TCHS if you are no longer able to keep it. You may not sell or rehome.
You are responsible for providing food, water, shelter, exercise, medical care, and humane treatment at all times for the dog.
We reserve the right, in our sole discretion, to refuse any applicant for any reason.

Please Acknowledge:

Incomplete applications will not be processed!
By submitting this application, I acknowledge that all information on this application is true and correct.
I understand that any misrepresentation of facts may result in refusal of adoption privileges to me.
If any request for adoption is approved and is later discovered that the information provided is not true or correct, the Tuscarawas County Humane Society reserves the right to remove the adopted animal from my home.

Please allow 3-5 business days for TCHS to fully process your application.

Signature

Sign Here

Date of Application

Help make a difference in the lives of Tuscarawas County animals.

Contact Us

Abuse/Neglect Hotline:
330.343.6060 Ext. 1
Phone: 330.343.6060
Email: [email protected]

Visit Us

Address:
1432 Tall Timber Rd NE
New Philadelphia, OH 44663

Get Directions

Hours

Mon, Wed, Fri-Sun (1pm-4pm)
Tue (1pm-7pm)
Thu (Closed)

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We are a nonprofit organization who rescues the abused, abandoned & neglected animals of Tuscarawas County, Ohio.

Dog Adoption Application Form

About Dog Adoption

Dog Adoption Application Form

Please fill out the form below to complete your dog adoption application:

Personal Information

Dog Information - What are you looking for?

Pet Ownership History

Your Household

General Questions

Agreement & Submit

Help make a difference in the lives of Tuscarawas County animals.

Contact Us

Visit Us

Hours

Quick Links