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H.E.A.R.T Ohio Adoption Application
Please complete if you are interested in adopting a dog with H.E.A.R.T Ohio (formerly known as Wagging Tales Rescue). You will be contacted by a representative if your application is approved and if the dog is still available for adoption.
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* Indicates required question
First & Last Name
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Your answer
Email
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By filling this out you agree to be contacted by email
Your answer
Date of Birth
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Your answer
Drivers License ID Number
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Your answer
Address
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Your answer
City
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Your answer
Zip Code
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Your answer
State
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Your answer
County
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Your answer
Phone Number
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Your answer
Spouse/Partner Name/Roommate(s)
If applicable please add the first and last name of your spouse/partner
Your answer
Occupation
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Your answer
Do you own or rent your home?
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Own
Rent
What type of home do you live in?
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House
Apartment
Condo
Other:
If renting, provide name and telephone number of landlord/property management.
Your answer
Renters: Have you contacted your landlord to find out if there are any restrictions on the kind of size of dog you can have?
Yes
No
Not yet, but I will
It's wrriten in our lease
Clear selection
Approximate square footage of home
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Your answer
Do you have a yard?
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Yard, fenced with a vertical fence
Yard, fenced with invisible fencing
Yard, no fence
No yard but access to greenspace
No yard, no access to greenspace
If you have a fence, please provide type and height
Your answer
Describe your lifestyle:
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Family, kids, active, what do you like to do?
Your answer
Do you work outside the home?
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Yes
No
One applicant is home/works from home
We work different shifts
Other:
If you work outside the home, how many hours per day are you away?
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Your answer
How many hours per day will this dog be alone? Please explain.
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Your answer
Is this your first dog?
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Yes
No
Name of primary veterinarian:
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Your answer
Primary Veterinarian Phone Number
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Your answer
Do you have resident pets already?
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Yes
No
Please describe the types of pets you have already:
Your answer
Are all of your current pets up to date on vaccinations and spayed/neutered?
Must answer if you have resident pets.
Yes
No
Other:
Clear selection
Is there a particular dog that you are interested in?
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Please state the name if there is a particular dog.
Your answer
Are you in contact with any other rescues or shelters about a specific dog?
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Yes, application is pending
Yes, just an email inquiry, no app yet
No, but I am looking at several dogs online
No, I am only interested in this particular dog
Is anyone in your home allergic to dogs?
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Yes
No
Does anyone in your home fear dogs?
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Yes
No
Are you familiar with dog regulations in your area?
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Yes
No
Upon meeting the dog, what would give you cause to not want to adopt it? Please explain.
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Your answer
Fantasy question: What would your dream dog be like? If this dog is not a fit, we may be able to recommend another based on what you say here.
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Your answer
Please check all that apply. I want to adopt this dog...
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As a family pet
To breed with my dog
To train/use for hunting
To train/use for agility
To train/use as a therapy dog
To train/use as an assistance dog for the disabled
To use as a guard dog
For a jogging/hiking partner
To interact with lots of friends/family
As a gift for a friend, partner, or family member
As a companion for my dog(s)
As a companion for my cat(s)
As a companion for my child(ren)
Required
Please check all that apply. My adopted dog will...
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Be kept outside most of the time
Be kept indoors most of the time
Be left outside during the work day while we are away
Be kept inside while we are away
Be crated when we are not home
Have free reign of the house when we are not home
Be taken to formal obedience classes
Be trained by me/us
Take frequent car rides with us
Be kept on a lead line/cable in the yard
Be mostly interacting with adults
Be interacting frequently with children under 8
Be interacting frequently with older children
Must be housebroken prior to adoption
Will be housetrained by us
Will be walked more than one mile per day everyday
Will be walked occasionally
Be attending agility classes
Be boarded when we go on vacation
Stay with family when we go on vacation
Join us on vacation
Be given away to someone else if we feel it's not a good match for us
Be turned in to a shelter if we can't keep it
Be going camping with us
Be going on boat trips with us
Be outside with a dog house in a fenced area
Be outside chained/tethered to a dog house
Other:
Required
Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with at the time of adoption or at any time during the life of the dog?
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Housebreaking
Chewing
Jumping
Pulling on leash during walks
Counter surfing
Obedience training
Fear of men
Fear of women
Fear of children
Mouthiness (may sometimes snag your hand or arm instead of the toy in play and will need redirection/training)
Growling
Barking
Rough (not aggressive) play with other dogs
High activity level
Food/toy aggression or not willing to share with other dogs
Food/toy aggression with people
Whining/crying
Blindness
Limited sight
Deafness
Separation anxiety
Diabetes
Special diet
Long-term medication
Incontinence/leaking urine
Taking classes with the dog
Gets stressed/carsick in a vehicle
Doesn't know how to climb stairs
Can't climb stairs due to age/arthritis/health issues
Heart condition
Skin allergies
Food allergies
Trimming nails
Yeast on coat or in ears
Ear mites
Fleas
Ticks
Heartworm preventative
Annual heartworm/lyme combo testing
I will do whatever it takes to help this dog adjust and work with a trainer to help resolve any training needs.
Required
What would cause you to return a dog?
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Your answer
What do you feel is a reasonable amount of time for a dog to adjust to life with you/your family?
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Your answer
What would you do if (at any time during the life of the dog) your vet diagnosed your dog with an expensive health condition?
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Your answer
To finalize adoption with one of our rescues, you must consent to a home visit. Please check that you understand and are in agreement.
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I understand and agree to a home visit.
Required
You have completed this application truthfully and to the best of my knowledge.
*
Please check if you agree to this statement.
I agree
Other:
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