Dog Adoption Application

Please be advised that a home visit will be required before your application can be
approved. We request that all family members be present at this interview.

Home Phone
Cell Phone
Names and relationships of other adults living in the home
Do you have children?
If yes, please provide names and ages of children living in the home.
Will your dog come into contact with young children ie. grandkids, visitors, daycare.
If yes, please provide details including ages.
Does anyone in the family have allergies?
Are all family members in agreement about adopting a dog?
Please explain why you would like a dog.
What size of dog?
Are you interested in a particular breed? Please describe.
Are there other dogs in the home?
If yes please provide age, breed, and genderfor all.
Are pets spayed/neutered?
If no, please explain:
Are there any other pets in the home?
If yes, please describe.
Are pets vaccinated?
If no, please explain:
Have they been treated for a contagious medical conditon recently? If yes please explain.
Are your pets currently licenced with the municipality in which you live?
How do your pets react to other dogs?
What type of dwelling do your currently live in?
Do you rent or own?
If rented, does your rental agreement permit you to have a dog?
How long have lived at your current address?
Is your yard enclosed by a fence?
Please describe your yard and fence. ie. size, type.
If your yard is not fenced, are you willing to install fencing in order to adopt a dog?
Have you owned dogs in your adult life?
What breeds and what happened to them?
Were your pets neutered or spayed?
Have you ever given an animal up?
If yes, what were the circumstances?
How long would you dog be left during a typical day?
Where will you keep your dog during the day?
Where will you keep your dog during the night?
Do you have experience in house training a dog?
Are you familiar with crating a dog?
Are you in favour of crating ?
Will your dog be tied up?
How will you alleviate boredom for your dog during your absences from the home?
Where will your dog stay while you vacation?
If the dog were to become ill, what arrangements would be made for care and supervision?
How do you feel about the following? List in order of preference: • Chewing, Drooling, Shedding, Odor, Wandering, Howling, Barking, Digging.
What circumstances would you consider giving up your dog?
Please list a veterinary reference that we may contact who knows or has known you and your animals.
Please list a personal reference that we may contact who knows or has known you and your animals.
Please describe the dog you would like to adopt. ie age, sex, activity, level, etc.
What kinds/characteristics of dogs would you not wish to consider adopting?
Would you consider a dog with special needs?
If yes, do you have experience with special needs animals? Please explain.
Please add any additional comments you may have.
Are you willing to have a volunteer visit your home prior to and/or after adopting your dog?
Have you been informed about the adoption process and contract?
Have you been informed about the adoption fee?
Security Code
Verification Complete