Berea Animal Rescue Fund Adoption Application

Berea Animal Rescue Fund is a NON-PROFIT humane agency dedicated to better the plight of the dogs and cats of Berea, Ohio. Please note we are NOT FUNDED BY THE CITY. Our services are made possible through private donations and the hard work of our volunteers.

Fill out the form completely, even if "just looking".

Personal Information

Name: Date: Address: City: State: Zip: Phone Number: This Number is: Listed Unlisted

Pet Information

This pet is for: Myself Someone else
I'm interested in adopting a: Dog Cat Puppy Kitten

Animal Name: Male Female

I prefer (hair length): Long Short

I reside in a:
House Apt Townhouse Condo
Mobile Home Other
I currently: Own Rent
I can provide proof of ownership, or verification that
my landlord will allow this pet into my home. Yes No

How many people live in this dwelling?
Does this dwelling have a fenced yard? Yes No

How many hours a day will this pet be alone?
Primary caretaker for this pet will be:
My current pet(s) is/are:
My veterinarian is:
He/she has records of my other pets: Yes No

Is your pet(s) sterilized?: Yes No

Tell us about your current/previous pets:
How many children do you have:
Describe any special limitations that you or your
family may have:
Is anyone allergic? Yes
No

Specifically, how did you hear about us?
Our animals are vaccinated, wormed, spayed/neutered, veterinarian checked, fed premium food, socialized, and generally spoiled! Berea Animal Rescue Fund reserves the right to REFUSE ANY ADOPTION.