PMRF Adoption Application (DOG)
Please indicate that you have read and understand our adoption policies.
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Yes
No
Applicant's First Name
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Applicant's Last Name
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Do you own or rent your home?
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Own
Rent
Full Street Address (Including unit number if applicable)
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Apartment Number (if applicable)
City
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Province
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Postal Code
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Phone Number
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Please use the following format 248-555-1212
Alternate Phone Number
Email Address
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Please enter correctly as this is the main way we will contact you
Are you over the age of 18?
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Yes
No
Emergency Contact Name
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Emergency Contact Number
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Have you ever been convicted of a crime?
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Yes
No
Are you willing to get a criminal record check?
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Yes
No
Do you plan on moving in the next 6 months?
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Yes
No
Are you aware that there is a $350-595 adoption fee for dogs that is collected for all adoptions to defer costs for the care and medical treatment of adoptable animals?
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Yes, I am aware
No, I am not aware
Please indicate that you are aware that the adoption fee covers spay/neuter, health exam, distemper complex vaccine and boosters up to date of adoption (some may be required after this date at the adopter's expense), deworming, testing and treatment for parasites, microchip, transportation to Calgary (when arriving from out of the country), and 6 weeks of free pet insurance; and DOES NOT include any vaccinations or veterinary treatment after you adopt the dog, including bordetella vaccinations and rabies vaccinations.
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Yes, I am aware
No, I am not aware
Please indicate that you understand that Pawsitive Match Rescue Foundation does not provide a dog license, and that you are required to contact the municipal and/or provincial governing body for your residence to register and/or license any adopted dog.
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Yes, I understand
No, I don't understand
Please indicate your understanding that required annual veterinary check-ups and vaccinations may cost up to $300 and that you are willing and able to provide the necessary medical care for your dog, including regular check-ups, vaccinations, and any necessary surgeries or treatments.
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Yes
No
Please indicate that you are aware of our policy that puppies will not be adopted to homes where no one is home for long periods of time.
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Yes, I am aware
No, I am not aware
I understand that PMRF only adopts to Calgary and the surrounding area, and that I am responsible for transporting the dog to my home.
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Yes, I understand
No, I don't understand
Do you agree that any dog you adopt through PMRF will be a family pet that will sleep inside the home and not be left outside while no one is home.
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Yes, I agree
No, I don't agree
Please indicate that you understand that some home insurance companies will not insure homes that have certain breeds of dogs. You must check your home insurance policy before adopting a dog to ensure there are no restrictions. Pawsitive Match Rescue Foundation does not guarantee the breed of any of our dogs and will not refund adoption fees for dogs that are returned due to violation of a home insurance policy.
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Yes, I understand
No, I don't understand
Name of the dog(s) you are applying for:
Anastasia (Dog - 24D404)
Annie (Dog - 24D405)
Bebe (Dog - 24D451)
Eli (Dog - 24D421)
Eva Gabor (Dog - 23D544)
Gavin (Kevin) (Dog - 24D472)
Havana (Panda) (Dog - 24D361)
Hyde (Dog - 24D429)
Ikon (Zeus/Foster) (Dog - 24D216)
Judson (Hudson) (Dog - 24D347)
Nala (Dog - 24D395)
Nanu (Dog - 24D426)
Norma (Storm) (Dog - 24D382)
Ohtani (Dog - 24D402)
Paula (Dog - 24D424)
Pepper (Jo) (Dog - 19358)
Sassy (Dog - 24D470)
Spice (Dog - 24D449)
Steve (Dog - 24D425)
Tiki (Yuki) (Dog - 24D360)
Waffles (Dog - 24D452)
Wilder (Dog - 24D389)
Zena (Dog - 21D067)
If the dog does not show up on the list, indicate name here.
Is this dog for you or someone else?
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Myself
Someone else
What made you apply for this particular dog and why do you feel this dog would be a good fit for your home?
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When do you intend to bring a new pet into your home? Our screening process is thorough, but quick and efficient. Please apply only when you are ready to actively search for, meet and bring home a rescue animal.
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If the dog is no longer available, would you be interested in working with us to find another dog for you, who would meet your criteria?
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Yes
No
Do you have experience with rescued animals? Please explain.
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If necessary, do you have a letter of approval from your landlord or condo board? Please note, your application will not be processed if you rent and do not have a letter of approval. A landlord pet approval form is available to be downloaded on the adoption page.
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Yes
No
What type of home do you live in (House, Townhouse, Condo, Acreage, etc)?
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Do you have a fenced yard? If yes, how tall?
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How long would the dog be left alone during the day? Where would it stay in your absence?
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How many adults live in your household?
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How many children live in your household and what are their ages?
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Do any other children regularly visit your home and if so, what are their ages and how often do they visit?
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Is anyone in the household allergic to animals?
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Yes
No
If you answered yes to the above, please provide more details.
Have all family members agreed to the adoption?
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Yes
No
Do you understand that you will be sharing your life with an animal for 14-18 years, who is totally dependent upon you for food, shelter, exercise, health and veterinary care? Are you willing and able to make this life-long commitment to a pet as a family member?
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Yes, I understand
No, I don't understand
Do you currently have any pets? If so, please describe (how many, species, breed/type, age, sex):
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Are all of your current pets spayed or neutered?
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Yes
No
n/a (no pets)
Are your pets up-to-date on vaccine and medical issues?
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Yes
No
n/a (no pets)
Have you had pets in the past? If yes, please describe (Species, Breed/Type, How did you acquire?, Where are they now?)
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Have you ever surrendered a pet to an animal shelter or to anyone else?
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Yes
No
*If yes, please provide us with some details.
Please describe the training method(s) you use (if any), why do you use it/them?
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If required, are you willing and able to attend training classes with your dog, and work consistently on training and behavior modification exercises at home?
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What is the contact information of your current veterinarian for any animals you have now or have had in the past 5 years?
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Do we have permission to contact your vet for a reference?
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Yes
No
How did you hear about Pawsitive Match Rescue Foundation?
Internet Search
Family/Friend
PMRF Volunteer
Social Media
Other
Would you consider fostering?
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Yes
No
More info needed
Anything else you would like us to know?
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing PMRF to contact landlords, associations and veterinarians. I am also aware that PMRF cannot guarantee the health, breed, and temperament of the animal.
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Yes
No
Electronic Signature
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