Dog/Puppy Adoption Application

Name of animal you are interested in adopting *

Applicant's First Name *

Applicant's Last Name *

Street Address *

City *

Province *

Apartment Number (if applicable)

Postal Code *

Phone Number *

Email Address *

How did you find out about us? *

Is this pet for you or someone else? *

Do you own other pets at the current time? *

If yes, please list their names, breeds, and ages.

Are all of your pets spayed/neutered/fixed?

How many pets have you owned in the last 5-10 years?

Are your pets current on their vaccinations?

Personal Reference 1 name and relationship (non-family member) *

Reference1 phone number *

Personal Reference 2 name and relationship (non-family member) *

Reference 2 phone number. *

Veterinarian's Name

Do you own or rent your home? *

How long have you lived at this address? *

If you rent, does your landlord and lease allow pets?

Including yourself, how many people live in your household? *

Please list the ages & relationship of those who live in your home. *

Is everyone in your household aware that you are planning to adopt a pet? *

Employment Status *

If you chose "other" above, please explain:

If you are employed, what is your current occupation? *

Do you have a fenced yard? *

If yes, what type of fence and how tall is it?

Will this pet be predominantly living inside, outside, or both? *

Please provide a description of this pet's living conditions. *

Are you willing to take the dog to obedience classes? *

Will you keep the animal up-to-date on vaccinations? *

Please provide any additional info you think will assist in the application process.

All the information indicated above is correct to the best of my knowledge (please sign below). *