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Dog Adoption Application

  1. Please list your current pets



  2. Please list pets you have been financially responsible for in the past: (do not list pets your parents owned)



Statement of Understanding

I understand the responsibilities that I am assuming if I adopt this animal. I know that there may be unforeseen circumstances and expenses, including but not limited to, annual vet visits, with the introduction of a new pet in my household. I hereby give the Humane Society of Greater Dayton my permission to contact my landlord, if applicable, and my veterinarian to verify any of the information supplied in this application. I also agree to a progress check in the future, where a Humane Society worker may visit my home to verify my new pet’s living conditions. I agree that if I am unable to keep this pet for any reason, I will contact the Humane Society of Greater Dayton. By signing below, I acknowledge that I understand everything I have read in this application and I have answered all of the questions truthfully. I further understand that the Humane Society of Greater Dayton is considered the guardian of the animal in question and has the right, in its sole discretion, not to approve this application.