Ozaukee Humane Society - Dog Adopter Profile

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Available Dogs for Adoption

Available Cats for Adoption

Available Small Animals

Gift of Companionship

Dog Adopter Profile

* Required fields


*First name:

*Last name:

*E-mail:

*Address line 1:
Address line 2:

*City:

*State:

*Zip:

*Home phone:
Daytime phone:

Home ownership:
Residence type:
Landlord name:
Landlord phone:

Do all adults in your household know that you plan to adopt?

# of adults in home:
# and ages of children in home:

What types(s) of pet(s) have you owned during the past five years?

Type/Breed	Age	Name	Spayed/ Neutered?	Still Own?

If you have a veterinarian, please provide his/her name and the clinic name.

Please fill out this part of the form to help us help your find that perfect match.

I have owned a dog before:
The last time I had a dog was:
My dog needs to get along with my other dogs:
If yes, list their names, ages, genders and breeds (if other than animals listed above):
My dog needs to be good with (check all that apply):	Children over 8 years old Children under 8 years old Elderly people Cats Animals other than cats and dogs
My dog will primarily be an:
How many hours will your dog spend outside per day:
My dog needs to be able to be alone:
When I'm at home, I want my dog to be able to be by my side:
When I'm not at home, my dog will spend his time:
I want a guard dog:
I want my dog to hunt or herd with me:
I want my dog to be the type that is very enthusiastic in the way s/he shows s/he loves people:
I want my dog to be playful:
I want my dog to be laid back:
I am comfortable doing some training with my dog to improve manners such as jumping, stealing food and pulling on the leash:
I (or my children) want to compete in Agility, Flyball or Obedience with our dog:
I would consider a dog with "special needs" (medical or behavioral):
How much do you think you'll spend yearly for the care of your dog? (Food, medical care, boarding, toys, etc.):

Additional comments you want to share with us. ** Please note, if you have specific questions you'd like answered before your visit to OHS, please call us at 262-377-7580.

I certify that I am at least 18 years of age and the information I have given is true. I recognize that any misrepresentation of facts may result in my losing the privilege of adopting a companion animal and I understand that the Ozaukee Humane Society has the right to deny my application.

I am fully aware that I am adopting a living creature and as such that the Ozaukee Humane Society is unable to guarantee the health of the animal.

If this animal becomes ill, I certify that I am financially and/or emotionally prepared to treat this animal at my own expense.