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? * Select Yes No
Do you live in a house, apartment, condominium or townhouse? * Select House Apartment/Condo Townhouse
Do you own or rent your home? * Select Rent Own
How long have you lived at your current address? *
Is any member of your family allergic to dogs? * Select 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? *
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? * Select Yes No
In what type of lifestyle do you want your dog to live? Inside, outside, both? * Select 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) * Select 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? *
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 $400? (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) * Select Yes No
Before Covid 19, our procedure was to have a volunteer from our rescue come to your home prior to the adoption to conduct the in-home and yard visit. In these unprecedented times, we have modified this step in the process. A virtual tour using Skype/Facetime (or in some cases a gallery of photos) of the inside of your home (must include all areas that the dog would access) is now acceptable. If you live in a house with a yard, we may schedule a volunteer to conduct a socially-distanced perimeter/yard visit to check the yard and fencing for safety . Please note we would never share the pictures you send us with anyone. Would you consent to this? * Select Yes No
Please list three (3) pet references with phone numbers, not including your vet: *
If other, please indicate how you heard about us.
