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2022-07-04T16:52:28-07:00
Dog Adoption
Name
(Required)
Address
(Required)
Street Address
Address Line 2
City
Province
Postal code
Phone
(Required)
Email
(Required)
Your age group?
(Required)
Under 18
18 - 24
25 - 35
36 - 50
51 - 65
65+
Which dog you are interested in?
(Required)
Who will have primary responsibility for the dog? Is the person 21 or older?
(Required)
Number of adults in home?
(Required)
Number of children and their ages?
(Required)
Are you interested in a particular breed or trait?
(Required)
What makes you the best applicant for this dog?
(Required)
Do you rent or own? How long have you been at residence?
(Required)
Do you live in a house, apartment or townhouse?
(Required)
Do you have a yard and is it completely fenced?
(Required)
Yes
No
If your application is approved would you be available for a home visit?
(Required)
Yes
No
Are all members of your house aware of your plans to adopt?
(Required)
Yes
No
Do any members of your house suffer from allergies?
(Required)
Yes
No
Do you currently have any pets? If so, have your pets ever been around another dog?
(Required)
Have all animals in the home been spayed or neutered?
(Required)
Yes
No
Other
How often would the dog go into the vet for checkups and vaccines?
(Required)
Every year
Every 5 years
Only when a problem arrises
How much do you think you will be spending annually on food, medical, grooming and training?
(Required)
What brand of food will you feed your dog?
(Required)
What is your budget for a medical emergency or treatment?
(Required)
Who is your vet? (Name and contact)
(Required)
Have you owned a dog before?
(Required)
Yes
No
Have you ever owned a rescue dog?
(Required)
Yes
No
Do you understand that we often do not receive a lot of history on a dog and they could potentially have behavioural issues?
(Required)
Yes
No
Are you willing to work with a trainer to resolve any potential behavioural issues if you cannot manage?
(Required)
Yes
No
Will you be attending obedience training?
(Required)
Yes
No
Have you crate trained a dog before?
(Required)
Yes
No
Have you house trained an animal before?
(Required)
Yes
No
How will you be socializing the dog?
(Required)
How would you describe your lifestyle?
(Required)
Sedate
Leisurely
Active
How would you describe yourself?
(Required)
Nervous
Calm
Quiet
Loud
How would you describe the household?
(Required)
Loud
Calm
Moderate
Busy
Hectic
Are you planning on moving, going on holiday, changing a work schedule in the next 2 months?
(Required)
Yes
No
Where will the dog stay if you are on holiday?
(Required)
Does the primary caregiver of the dog work? If so, how many hours?
(Required)
Where will the dog be while you are at work?
(Required)
How many hours a week will the dog be alone per week?
(Required)
Where will the dog sleep?
(Required)
Outside
Kennel
Wherever they like
Other
Will the dog be mostly inside or outside?
(Required)
What forms of exercise will you be providing and how often?
(Required)
Have you ever surrendered a dog in the past?
(Required)
Yes
No
In what situation, would you consider returning a companion?
(Required)
What are your reasons for adopting a dog and any traits you are looking for?
(Required)
Personal reference 1
(Required)
Personal reference 2
(Required)
Please confirm
(Required)
I hereby certify that all information supplied on this application is accurate
Enter full name
(Required)
Today's date
(Required)
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