Adoption Application Download printable version If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required Full Name * Date * Please list all people living in the home and their ages. Please indicate if they are family members or roommates. * Who is going to be the primary care giver of the dog? * Best Phone Number to Reach You * Phone Number Type * Home Phone Cell Phone Business Phone Other Phone Email * Home Address * City * Province * Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Quebec Saskatchewan Yukon Postal Code * Major intersection: * Which dog are you interested in adopting? * If there is not a specific dog you are interested in adopting - tell us what type of dog you feel would be a good match for you (size, age, breeds). Why are you interested in adopting a dog? * How did you find out about our organization? * Type of dwelling * House Condo Apartment Do you: OwnRent If you rent do you have permission from your landlord to adopt a dog? YesNo If you live in a condo have you checked the by-laws to make sure there are no restrictions regarding dog ownership? YesNo How long have you lived at the above address? * If you have a yard is it fully fenced? YesNo Is there a gate that locks? YesNo Do you currently have a dog or cat? YesNo If so, please tell us about your animals including breed, sex and age. Is your dog/cat neutered or spayed? YesNo Where did you get your dog from? If you do not currently have a dog - have you owned dogs before? YesNo If so, how long has it been since you had a dog and what happened to your dog? Are any members of the household home during the day? YesNo How many hours per day will the dog be at home alone? * Where will the dog stay when he/she is home alone? * Where will the dog sleep at night? * How much exercise are you able to give the dog? * Briefly explain how you would train your dog. Have you had experience housetraining a dog before? * Are you willing to work with a positive based trainer if necessary? YesNo Does any member of your household have allergies? YesNo Is everyone in your household agreeable to adopting a dog? YesNo Roughly how much money do you think it will cost to care for your dog for one year? * Name, address and phone number of veterinarian you most often use Name, phone number and address of neighbor or friend: * We reserve the right to decline any applications.