Application for Adoption

Instructions

  1. If you are interested in adopting one of our MARS orphans, please read our Pre-adoption Guide and then fill out the form below. Please note that due to the sheer size of the Akita breed, it is our policy to not place Akitas in homes with resident children under the age of 10.
  2. There is an application fee of $20.00, which is 100% tax deductible.
    Pay now via Paypal
    – Or send a check payable to Midwest Akita Rescue Society to: Deanna O’Brien, Midwest Akita Rescue Society, 6538 North Nordica, Chicago, IL 60631
  3. Please realize that many of our dogs came to us because they were mismatched with their former owners’ personalities, facilities, and/or lifestyles. For the sake of both the dog and you, we need the following information. If you would like to add more information that you feel would help us find the best dog for you, please do so in the comments section at the end of the form.

Note: If you would rather submit your application via mail, please click here for a printable version.

Fields marked with * are required.

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