Your full name * Your address * City * Postal code * Phone number * Email * Name of the dog you are interested in adopting * Why have you chosen this particular dog? * Please explain your reasons for wanting to adopt a dog * For whom are you adopting a dog? For you or for someone else? (If for someone else, who?) * What experience do you have as a dog owner? If your have been a dog owner, please tell us about your previous dogs * Do you currently have any pets? If yes, what pets do you have? What are their ages? Are your pets spayed/neutered? What are their temperaments? * Are you 21 years of age or over? * Choose Yes No Do you live in a house, apartment, condominium or townhouse? * Choose House Apartment/Condo Townhouse Do you own or rent your home? * Choose Rent Own How long have you lived at your current address? * Is any member of your family allergic to dogs? * Yes No List all members of your household including number of children and their ages. Who will be primarily responsible for the care of this pet? * Who is your veterinarian and what is their phone number? * Do you have dog training experience? And if so, what training do you have? * What canine behaviour would you find totally unacceptable and why? * What canine behaviours or traits are you looking for in an adoptive dog? (ie; housetrained, non-shedding, good with other dogs, good with children). Check all that apply: * Describe your method of disciplining a dog? You have just come into the kitchen to find the garbage has been ransacked. How do you respond? * You have come home to find your dog has pooped in the house. What do you do? * Are you willing to seek guidance/attend classes with your adopted dog, should you experience behavioural challenges? * Choose Yes No In what type of lifestyle do you want your dog to live? Inside, outside, both? * Choose Inside Outide Both How many hours of the day will a dog be alone? And why? * Where will the dog be kept primarily? (house, yard, garage, other) * Choose House Yard Garage Other Where will the dog be sleeping? * Do you have a yard? If yes, is the yard fenced? If your yard is not fenced, would you be prepared to have the yard fenced? * Do you have a pool? If yes, is there a fence around it? * How many walks will the dog get per day? * Describe the exercise program that you have in mind for your adopted dog? * What type of food will you be feeding your adopted dog? * How will your dog be cared for if you have to be away from home for an extended period of time on vacation or for business? * Check any of the following reasons you would give your dog away. Check all that apply: * Approximately how much do you think a dog will cost per year? * As an example, your dog ran out the door and was hit by a car. The veterinarian can repair the broken leg (and the dog would recover) at a cost of $2500.00 what would you do? * What are your thoughts on Pet Insurance? * If your dog went missing (for example accidentally got off-leash and ran away) please detail the steps you would take to find your dog during the first 48 hours. * Are you aware that there is an adoption fee of $375.00? (which includes at minimum: a veterinary exam, spay/neuter, all vaccines to date, a microchip implant and heartworm test. Many of our rescued dogs also have full blood panels run, dental surgeries and other necessary procedures as per their specific needs) * Choose Yes No Would you have any objection to someone from our agency coming to your home to conduct a home check prior to the adoption of a dog? * Choose Yes No Please list three (3) pet references with phone numbers, not including your vet: * How did you hear about our rescue?