Fayette County Humane Society
135 S. Main Street
Washington Court House, Ohio 43160
740-335-8126
faycohumane.com

Dog Adoption Application
Name
Breed
Information about the animal you are interested in:
Age
Briefly describe why you are interested in adopting a dog.
Do you have other pets?
Do you have children?
If yes, please describe what other pets you have.
Do all adults agree on adoption?
Have your other pets been spayed or neutered?
What ages?
Have your children been exposed to dogs before?
Is anyone in your family allergic to dogs?
Will the dog be an indoor or outdoor dog?
If outdoor, what kind of shelter will be provided?
Do you have a fenced in yard?
If renting, does landlord approve of you having pets?
Is your home puppy/dog proof?
What provisions will be made for vacation?
Have you ever had a dog before?
Who is your veterinarian and how many visits per year?
Are you willing to care for this animal for the next 10 years?
Are you going to have this animal spayed or neutered (if not already)?
Your information:
Name
Address
City
State
Zip
Phone
Email
Cell Phone
Any other information you may want to include.
Cash Only - We are a small organization and can only except cash. Sorry for any inconvenience.
MaleFemale
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
IndoorOutdoorBoth
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo