Adoption Form

Please fill out the following information. Then read the Adoption Agreement terms and click the Submit button to send your application to us for consideration.
If you would rather print out a copy of the application and agreement forms and mail them, please click here for the Adoption Form and click here for the Adoption Agreement.

If you have not heard from us within 48 hours, please call the rescue at 937-247-9272.

Your Name *

Your Age

Address

Street Address *

City *

State *

Zip Code *

Phone Numbers

Home

Work

Cell

Email Address *

Which animal(s) are you interested in adopting?

How did you hear about this animal?

I live in a

House

Apartment

Condominium

Mobile Home

and I

own

rent

live with parents

How long have you lived at your current address?

If you rent

Landlord Name

Landlord Phone

Please list all other animals in household: Name, Breed, male/female, age, spayed/neutered, declawed- 2 or 4 paws

Please list previous pets for the past 10 years: Name, Breed, age, what happened to them.

Please list all members of household (Name, male/female, age)

Do you have a fenced in yard?

Yes

If yes, what type of fence and what height?

Veterinarian Info

May we have permission to call your vet to inquire about the healthcare of your pet(s)?

Yes

(Please call your vet to give permission for them to release info to us).

Who is your current veterinarian? (Doctor or clinic name) *

Vet Phone Number

Who will be the primary caretaker for this animal?

Where will this animal sleep?

Where will the animal be when you are not home?

Will the animal go outside, and if so, for how long?

If adopting a cat, do you plan to declaw?

Yes

Have you ever had to give up an animal?

Yes

If so, please explain circumstances

What type of activities/exercise do you enjoy with your pets?

Occupation of all adults in household

What is your work/school/home schedule?

Do you know anyone within the Robyn's Nest organization?

Please provide TWO personal references: Name, phone number, and relationship to you

Adoption Agreement
By submitting this form, you agree to abide by the following:

By adopting a pet, I promise to provide food, water, shelter, regular veterinary care, license as required, and, most importantly, lots of love and attention. The animal’s purpose will be as a companion, and I will care for the animal for the duration of its life.

I accept the animal as is, and understand that Robyn’s Nest is not responsible for medical conditions not detected. I agree to follow-up calls and/or visits from an adoption agent to aid in the transition for the pet. If at any time throughout the animal’s life I must give up the pet, I agree to contact Robyn’s Nest to give them the option of accepting the animal back into their care.

A full refund will be given if returned within one week of adoption. I understand that Robyn’s Nest will reclaim the animal in any case of abuse or neglect.

If you agree to these terms, you can complete your adoption application by clicking the Submit button below.

2018 Adoptions

Here is a tally of our adoptions for this year:

Cats = 6
Kittens = 1
Dogs = 2
Puppies = 0
Rabbits = 0
Guinea Pigs = 0
Hamsters = 0
Gerbils = 0
Rats = 0
Mice = 0
Ferrets = 0
Pot Bellied Pigs = 0

If you have a friend looking for a pet, encourage them to look at our list of adoptable pets. Thanks!

2017 Adoptions

Here is a tally of our adoptions for last year:

Cats = 26
Dogs = 19
Rabbits = 0
Guinea Pigs = 7
Hamsters = 1
Gerbils = 2
Rats = 15
Mice = 0
Ferrets = 2
Pot Bellied Pigs = 0