Online Adoption Form

Name of animal you wish to adopt:

First and last name: *

Street Address: *

City: *

Province: *

Postal Code: *

Daytime Phone:

Evening Phone:

Email: *

How did you hear about our rescue?

Why do you wish to own a rescue pet?

Have you owned a dog or cat before? *

Yes
No

If yes, what happened to them?

If no, what has been your exposure to them?

Do you presently have any other animals? If so, please list what kind and sex.

Type of Dwelling? *

Do you own or rent? *

Own
Rent

If renting, does you rental agreement allow you to keep dogs or cats?

Yes
No
Unsure

Landlord’s Name and Telephone:

How long have you lived at the above address? *

What is the size of your property? *

Is it fenced? If so, how high is the fence? If not, are you willing to enclose an area of suitable size?

What provision will you make for the animal in the event that you move? *

What provision will you make for the animal in the event that you take a vacation? *

How many people are there in your household? *

Does anyone in your household have allergies? If yes, please explain. *

Do you have children living in your home? If yes, what are their ages?

Is everyone in your family in agreement about adopting a pet? *

Yes
No

Would everyone in your family be available to meet a prospective adoptee? *

Yes
No

Are members of your family home during the day? *

Yes, all day or most of the day
No/Not usually

If you replied no, how many hours a day will the animal be left alone?

Where will the animal spend most of its time? *

Where will the animal be kept during your absence from the home?

Have you had any experience in housebreaking (for dogs only)?

Yes
No
N/A

Have you had any experience in basic obedience training (for dogs only)?

Yes
No
N/A

Are you willing to crate train if necessary (for dogs only)?

Yes
No
N/A

Name and contact information of Veterinarian:

By checking this box, I certify that I am the person identified in this application and that all information provided herein is true and correct. *

Tell us a little about yourself!

Pet ownership history

Your home and family life