Adoption Application

Email *

First Name *

Last Name *

Street Address *

City *

Province *

Postal Code *

Phone Number *

Country *

Dog you are interested in? Please state name as indicated on the Adopt a Pet site *

Occupation *

Hours You Work Daily *

Please list all household members names and ages. *

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Primary care giver for the dog. *

Do you: *

Own your house

Rent your house

If Renting, Landlords Name

Landlords Phone Number

Is your yard fully fenced? *

Yes

If yard fully fenced, how high?

Please list type, age and gender of all pets. *

Are your pets all spayed/neutered? *

Yes

Have all your pets been vaccinated in the last 3 years? *

Yes

If you answered NO to either question above, please explain.

Tell how you think your current pets will respond to a new dog. *

Where will the new dog spend the day? *

Where will be spend the night? *

How many hours will the dog spend with your family daily? *

How many hours will the dog be alone per day? *

Are you prepared to seek assistance for behavior issues that may arise? Explain. *

Do you agree to take an obedience class with this dog? *

Describe your idea of a great dog. *

What are your reasons for wanting to adopt a dog? *

What will happen with the dog when you are on vacation? *

How many dogs have you owned in the last 5 years? *

Who is your vet?

Vets Phone Number

Please provide Name and phone number of references. *