Adopt Rescue Dogs in East Sparta, OH

Name*

First Last

Email Address:*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Phone Number:*

Contact Preference*

How did you hear about our group?*

Why do you want to adopt this animal?*

List the animals you have owned in the past, including their names: If none, just put "none."*

List the pet you have now, including their names, Species/Breed, Age and Sex: If none, just put "none."*

Are your pets... If you have no pets, please leave these blank.

...spayed/neutered?

Yes
No

...current on vaccinations?

Yes
No

...given heartworm prevention?

Yes
No

If so, what kind?*

Do you intend for this animal to live inside or outside?*

Inside
Outside

Is your yard fenced?*

Yes
No

If So please describe

Do you own or rent?*

Own
Rent

If you rent please list your landlord's name and number.

Landlord Name:

Landlord Phone:

Please list your veterinarian's name & number that has cared for the pets listed above. *Note: We require a vet reference to approve your application, You agree to call your vet and release records

Vet Name:*

Vet Phone:*

Please list the veterinarian's name & number that will be caring for this pet, if different.

Second Vet Name:

Second Vet Phone:

List the names & ages of the people in your household, including yourself first:*

What kind of pet are you interested in(size, age, sex, etc.):*

Do you have any additional comments, concerns, or information that were not covered in this application?*

Do you agree to notify SAM if you are unable to keep this animal and to never give him/her to the pound, shelter or any other person or group without written permission from SAM:*

Yes
No

Do you have a specific dog or puppy you are interested in?*

** Please make sure that your application is completely filled out before hitting submit. This will help us to process it in a timely manner. If there are areas missing required information, your application will not be considered.

Phone

This field is for validation purposes and should be left unchanged.

Provide a Loving Forever Home to a Rescue Dog Mom or Puppy

CONGRATULATIONS

S.A.M. Save a Mom Pregnant Dog Rescue, Inc. Adoption Application

Are your pets... If you have no pets, please leave these blank.

If you rent please list your landlord's name and number.

Please list your veterinarian's name & number that has cared for the pets listed above. *Note: We require a vet reference to approve your application, You agree to call your vet and release records

Please list the veterinarian's name & number that will be caring for this pet, if different.

** Please make sure that your application is completely filled out before hitting submit. This will help us to process it in a timely manner. If there are areas missing required information, your application will not be considered.

To see our adoptable pets

Helpful Resources:

Choosing the Right Dog

Benefits to Adopting an Older Dog

Preparing Your Home for a Puppy

How Much Does it Cost to Own a Pet?

Why is There an Adoption Fee?

After Adoption: How to House Train Your Dog