Dog Adoption Application

Address where the pet would be living.
Type/Breed, Age, How long owned, Male/female, Spayed/Neutered, Indoors/Outdoors
Species/Breed, How long owned, Indoors/Outdoors, Spayed/Neutered, Where is the pet now? If deceased, cause of death?

Thank you for taking the time to fill out this application, which will help us to match you with the right pet. There may be up to a 1-2 day waiting period to process paperwork. Completion of this form does not guarantee that the Humane Society will place a pet in your care. ECHS is a charity depending solely on donations and service fees. I understand that if a dog is placed with me, t will pay a NONREFUNDABLE adoption fee.

I certify that the information I have provided is accurate and that any misrepresentation of facts may result in my losing the privilege of adopting a dog through ECHS.

By selecting submit, you do hereby electronically sign this document