Dog Adoption Application

If you're interested in adopting a puppy or dog, please fill out the form. We will be in contact with you as soon as possible!

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Cell Phone (Optional)
Email*
Additional Information
Name of Dog or Puppy*
Breed*
Age (if known)
Briefly describe why you’re interested in adopting a pet from us:*
Have you owned a pet before?*
- Yes
- No
Describe your household (home where pet will live):*
- Active
- Quiet
Is your home pet proof (i.e., no unprotected wires, no accessible chemicals, no choking hazards)?*
- Yes
- No
Do all adults in your household agree on the adoption?*
- Yes
- No
Do you have children?*
- Yes
- No
Is anyone in your household allergic to any type of animal?*
- Yes
- No
Will the pet be kept indoors, outdoors or both?*
- Indoors
- Outdoors
- Both
Do you have a fenced in yard?*
- Yes
- No
Do you rent or own your home?*
- Rent
- Own

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Our Location

153 S. Main Street
Suite 3
Washington CH, OH 43160
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Phone

740-335-8126

Email

Info@Fayetteregionalhumane.org

Hours

Mon: 8 a.m. to 1 p.m.
Tues: 8 a.m. to 1 p.m.
Wed: 8 a.m. to 1 p.m.
Thurs: 8 a.m. to 1 p.m.
Sat: 8 a.m. to 1 p.m.
Closed Friday and Sunday