Thank you for contacting UNCHAIN AMERICA about a new member of your family. We would love to match you with a great rescue dog. Our goal is to get dogs off chains, out of pens and into responsible, loving, permanent homes. Please fill out this form so that we may find out more about you and your family. This will help assure that you and your dog are the right fit for each other.

Please read below and then answer every question:


A tax-deductible donation of $150 is required. This helps cover the medical costs so that we may continue to rescue other chained dogs.

Thank you for filling out the UNCHAIN AMERICA adoption application. Pet ownership is a serious commitment that the entire household needs to consider and agree to before the animal is adopted. We want to ensure that each adoptive household is aware of and willing and able to accept the physical and financial responsibilities of pet ownership. Not everyone that desires a pet is ready to properly care for one.


By submitting the form below, you are agreeing that: I understand all of the questions and have completely read the application and understand that this UNCHAIN AMERICA dog MUST be indoors and this dog will not be chained/penned outside. I further understand that if for any reason I want to give up this dog, I will call UNCHAIN AMERICA, and undergo a 14 day waiting period so that we can resolve any issues with the dog. I also understand that a representative from the organization may visit the dog to ensure that it is well taken care of; if we find that the dog has been neglected or abused in any way or for any reason, we reserve the right to remove the dog from the premises. Your form submission below authorizes us to do so as necessary, and automatically transfers ownership rights of said dog back to UNCHAIN AMERICA at that time.


Important Notice: UNCHAIN AMERICA makes no guarantee in reference to the health of the dog. The dog is adopted "AS IS" and the adopter assumes responsibility for the treatment of and all existing conditions or any other conditions of physical or temperament changes that may occur. While the rescuer makes every effort to place only healthy animals, the rescuer cannot guarantee the health of any animal, due to factors beyond the rescuers control. The rescuer shall not be held responsible for any medical expenses which may be incurred, hereby expressly excluding any implied or express warranties, merchantability, or fitness for any particular purpose, including without limitation and warranties regarding health, temperament or whether the animal is housebroken. UNCHAIN AMERICA is not liable if the dog bites anyone after transferred to my guardianship, you are solely liable for the dog's behavior. I understand that I am hereafter solely responsible for the behavior of the dog. UNCHAIN AMERICA does not refund donations if the dog is returned. This is a legally binding contract.

Adoption Request Form




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