OESROWS Adoption Application

OESROWS is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and placement of stray, neglected and abused animals. OESROWS is completely funded through fundraising efforts and public donations. All of our pets are cared for by foster homes and receive complete medical care, which includes worming, vaccinations, spaying/neutering and microchipping prior to their adoption.

This questionnaire is designed to help OESROWS and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. OESROWS reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!

Name of the dog you are interested in:*

If applying for a future rescue type in future Rescue

Your full name:*

Your age:*

Street Address:*

City, State, Zip*

Home Phone:

Area CodePhone Number

Work Phone:

Area CodePhone Number

Cell Phone:

Area CodePhone Number

E-mail:

Employer:

Character reference and phone number:

Are all members of your household in agreement with this adoption?*

YesNoDon't Know

Who will be the pet's primary caregiver?*

Do you live in a*

Do you own or rent?*

OwnRent

If rent, provide name and phone number of landlord:

Does your landlord allow dogs?

YesNo

Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone

Do you have a fully fenced yard?*

YesNo

Height and type of fence

Do you have any of the following?

Underground fenceKennelDog Run

How many adults are in your household?*

How many days a week do you have visitors unknown to dog*

How many children are in your household?*

How many children visit your household each week?*

How many days a week do children visit your household?*

If children, what are their ages?

Have your children been around animals before?

YesNo

Does anyone in your home have allergies to dogs or have asthma?*

YesNo

List any pets you own or have owned in the past five years, and their ages

How many of these pets are spayed/neutered?

Where are these animals now?

Have you adopted from an animal welfare group before?

YesNo

If yes, what group?

Have you ever given up a pet?

YesNo

If yes, what were the circumstances?

Please provide the name and phone number of your current and/or previous veterinarian or clinic:

What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*

Are you aware of crate training?*

YesNo

Have you ever house-broken a dog or puppy before?*

YesNo

If the dog has an "accident" in your home, what type of correction do you plan to use?*

How many hours each day will your new pet be home alone?*

Where will your new pet sleep at night?*

How will you supervise the dog's outdoor activity?*

Where will your new dog stay when nobody is home?*

What length of time will you allow your new pet to adjust to his new home?*

Are you willing to work through your new pet's issues, if any?*

YesNo

Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo

Do you understand that a dog can live 15 years and is a long term financial commitment?*

YesNo

Do you plan to take an obedience class with your dog?*

YesNoNot sure

If yes, where?

Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?*

YesNo

What circumstances would lead you to give up your new dog?*

If you had to give up your dog do you agree to release him/her back to OESROWS?*

How did you find out about OESROWS*

I understand that I assume full responsibility for the welfare of this pet from the date of adoption.

I understand that if I am approved to adopt, and an appropriate match has been found, I will need to pick up the OES in whatever state, or location the OES is being fostered in unless otherwise arranged.

I understand that the Adoption Fee is $500.00 unless otherwise stated.

By clicking the submit button, I agree to OESROWS adoption process, will undergo a homecheck, and interview at the discretion of OESROWS.

By clicking the submit button, I understand OESROWS will check my references including veterinary and personal.

By clicking the submit button, I understand there is an adoption donation associated with adoption of a pet from OESROWS. I understand this donation will ensure the organization is equipped to rescue another homeless pet.

By clicking the submit button, I understand there is no "trial" period, and that if I no longer want or can no longer care for my adopted pet, I agree to return my pet back to OESROWS.

By clicking the submit button, I agree to indemnify and hold harmless OESROWS against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.

By clicking the submit button, I understand that OESROWS will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed.

By clicking the submit button I verify all of the above information is true and accurate.

OESROWS Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information