Please fill out form in its entirety.

Part I: Your information

Please list names of at least 2 dogs from our dog list that interest you:

Dog 1
Dog 2

Please provide the following applicant information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
Cell Phone
E-mail
Date of Birth

Number of adults age 18 or over in household (if none in the household, enter nil):

Men
Women

Number of children in household (if none, enter nil):

Boys		Ages
Girls		Ages

A Home Visit is a mandatory step in the adoption process.

Do you own or rent your home?

        Own Rent

What type of Dwelling: 

Apartment/Apartment-Style Condominium
Townhouse Duplex/Triplex
Mobile home
House
Farm
Other

If you are not the Homeowner, please provide the name and phone number of the Landlord or Homeowner

How large is your yard, describe your fencing (height/material, age)

During the day, how long will the dog be alone?

Part II: Pet History

Have you ever owned a rescue dog before?

Yes No

Where did you get the dog? 

Please list all your current pets - name, breed, sex, age and how long you had had them:

Please list all your previous pets, and what happened to them. Please include name, type of pet and how long it was owned.

If you have other dogs, would you consider them aggressive or submissive to other people? 

                    Aggressive
                    Submissive
                    Multiple dogs - different personalities

To other animals? 

                    Aggressive
                    Submissive
                    Multiple dogs - different personalities

Part III: Behavior

Are you likely to enroll your dog in obedience class?

          Yes No

What makes you a good pet owner?

Part IV: What Type of Rescue

You MUST tell us what type of dog you are looking for in this section - (or how do we know when to call you?). If you just want a nice dog of any type, say so. We need to know your exact preferences to determine if we have a dog that would suit your household

Would you be interested in Fostering a Dog if your preference is not available?

          Yes No

If you are looking for a specific type, breed, mix or colour, please list it here:

Desired Age Range 

Desired Sex

        Male Female Either

How would you describe your household? (i.e Busy - lots of people coming and going, Active - lots of noise/activity inside and out, Quiet - low activity, more restful environment)

Generally speaking, what sort of temperament are you looking for in a dog? I.e., playful, quiet…

Are you agreeable to returning the dog should, due to unforeseen circumstances, you would no longer be able to keep the dog?

          Yes No

Is there anything else that you want to tell us about your family and its suitability to adopt a rescued dog?

How did you find out about us? 

Your comments / suggestions:

Part V: References

Please list three references, not living with you, that can attest to your suitability as a pet owner, and more specifically, the owner of a rescue dog.  The first reference must be a veterinarian that is familiar with you and your pets. 

Please advise the Veterinarian that we will be calling, authorizing them to release your pet information to us.

Name of Veterinary Clinic
Veterinarian
Address
City
State/Province
Zip/Postal Code
Hours of Operation
Phone

Please inform the Personal References that we will be calling.  We will only attempt to contact them twice. If they do not return our phone call promptly or do not have an answering machine available, your application will not be able to be processed. We will notify you if this occurs.

Reference #1

Name
Relationship to Applicant
Address
City
State/Province
Zip/Postal Code
Day Phone
Eve Phone

Reference #2

Name
Relationship to Applicant
Address
City
State/Province
Zip/Postal Code
Day Phone
Eve Phone

Adoption fees are based on age, and specific fees are listed in each dog’s description on Petfinder. The adoption fee primarily helps us offset the high costs of vetting. If within the first 2 weeks following the adoption you decide that the dog is not compatible to your home environment, your adoption fee will be refunded minus a $100 administration fee. Any amount over and above the adoption fee will be issued a tax receipt.  We are a registered charity # 889508909RR0001. 

Before you press the submit button, please look over the form one more time and make sure you have filled out every field completely.  We will not process any application where applicable data is missing. 

 Our process applicators are volunteers and have work and family commitments, so each application can take up to two to three weeks to process.  We try to find the best home for each dog, so filling out an application does not mean that you will be automatically guaranteed the specified dog.

We GREATLY appreciate your taking the time to fill out this form and appreciate your interest in our dogs.  We will get back to you regarding your request as soon as possible.

I, the adopter, attest that to the best of my knowledge the above information is accurate and complete and I understand that falsely provided information can mean that my application will be terminated. Sending this application constitutes an electronic signature.