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 * Please use the following format 248-555-1212
Email Address * Please enter correctly as this is the main way we will contact you
How did you find out about us? *	Website Family/Friend Staff/Volunteer Facebook Instagram Kijiji Petland Petvalu
Do you own other pets at the current time? *	NoYes
If yes, please list the breeds, and ages.
Are all of your pets spayed/neutered/fixed & vaccinated?	Yes No N/A
Personal Reference #1 - Name and Relationship (NON-FAMILY MEMBER) *
Reference #1 phone number *
Personal Reference #2 - Name and Relationship (NON-FAMILY MEMBER) *
Reference # 2 phone number. *
Do you own or rent your home? *	Own Rent Someone else owns the Home Someone else rents the Home
If you rent, does your landlord and lease allow pets?	Yes No Unsure N/A
INCLUDING yourself, how many people live in your household and what are the ages? *
If you are employed, what is your current occupation? *
Do you have a fenced yard? *	NoYes
If yes, what type of fence and how tall is it?
Will this pet be predominantly living inside, outside, or both? *	Inside Outside Both
Are you willing to take the dog to obedience classes? *
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). *	Clear