Adoption Application

Charlie’s Wish Animal Rescue is an Ohio based Non-Profit Inc. We are a small, home based foster care/rehabilitation group whose goal is to help dogs find the love, treatment and families they deserve. We reserve the right to refuse any applicant for any reason if we feel the needs of the dog will not be properly met or the adoption is not in the best interest of the dog. Please make sure you completely fill out the application before submitting it to us. Missing information will delay the process and false information will result in your application automatically being denied. The application and adoption processes are designed to match appropriate homes with appropriate dogs. While many dogs may be attractive to the eye, we are very careful to understand the lifestyle of each adopter since we clearly understand the individual needs of dogs in our care. Each dog has been individually evaluated and worked with in home environments to give them the best opportunity to have a success life with a family. We do not ship dogs; we require that the applicant come to Columbus, OH to meet the dog and us. In most of the cases, we will set up a 1-2 weeks of trial adoption before finalizing the adoption. Our goal is to place dogs in happy, forever homes where the adopting party and dogs are both winners.

Name of the dog *

Your legal name *

Your age *

Primary phone number *

Email address *

Your complete address *

County where you are located *

List all adults with their full name and ages *

Type of residence *

House
Apartment
Trailer
Other

Do you have a completely fenced yard? *

Yes
No

If yes, describe the type of fence (Type and height)

If no fence, how will you handle exercise and toilet needs?

Do you own or rent the residence? *

Own
Rent

How long have you lived here? *

If you are renting, please provide you landlord's name and phone number

Is this the first time you have owned a dog as an adult? *

Yes
No

Please provide your veterinarian's name and phone number *

Please list all animals that currently live in your home or that you have owned in the last three years. Name, breed, age, and sex. If you do not own them anymore, please explain why. *

How many dogs have you owned in the past five years that are currently not in your home? What happened to them? *

If you are not capable to take care of the adopted dog, who will take care of it? *

Are all the animals in your household spayed or neutered? *

Yes
No

How many hours a day must the dog be alone? *

Less than 4 hours
4-8 hours
More than 8 hours

Do you have a steady stream of income? *

Yes
No

There are additional expenses for pets for routine care and possible unexpected medical costs. Are you prepared to be financially responsible for you new pet? *

Yes
No

It may take weeks for the new dog to adjust to a different environment. It may even require keeping the animals separate to introduce them properly. Are you prepared to handle this? *

Yes
No

In a new environment it can be hard to determine if an animal is housebroken. Will you be able to tolerate accidents and train the pet? *

Yes
No

Are all family members in agreement about adopting a dog? *

Yes
No

Home checks are required prior to adoption. Will you allow us to complete a home check? *

Yes
No

Please provide 2 personal references (Name, relationship, phone number) *

I understand that purposeful falsification of the information contained in this form will result in automatic denial of an adoption, or subsequent confiscation of already adopted pet (s). I certify that the information I have provided herein is accurate a *

Yes
No

Is there any additional information that you would like to tell us?

Send me a copy