11https://www.helpingpawsrescue.ca/wp-content/plugins/nex-formsfalsemessagehttps://www.helpingpawsrescue.ca/wp-admin/admin-ajax.phphttps://www.helpingpawsrescue.ca/auto-draft-2573yes1fadeInfadeOut *Adoption Application Date:*Which dog are you applying for?*Number of adults in the household:*First and Last Name (Adult 1):*Gender (Adult 1) this information is collected as some dogs do not respond well to different genders--- Select ---FemaleMaleFirst and Last Name (Adult 2 if applicable):Gender (Adult 2) this information is collected as some dogs do not respond well to different genders--- Select ---FemaleMale*Email*Address:*Phone Number (including area code):Children - age and gender:*Who will be the primary caregiver?--- Select ---Adult 1Adult 2*Is anyone in the household allergic to animals?--- Select ---NoYes (list below)Please list pet allergies if you answered YES above: Back Next *Do you own or rent your home?--- Select ---OwnRent*Outside of Ontario - If you rent do you have your landlord’s permission to have a dog?--- Select ---YesNoIn Ontario*How long have you lived at your current address?--- Select ---Less than 1 year1 year2 years3 years4 years5 years6 years7 years8 years9 years10 yearsGreater than 10 yearsIf less than 3 years what was your previous address?*Describe your residence (fenced yard?) if fenced describe fencing. If not fenced, describe how you plan on keeping the dog from escaping?*How do you plan on meeting your dog's needs for exercise?*Do you have a dog kennel or run? If yes please describe size etc.*Where will your dog spend a normal day?*On average, how many hours a day will your dog be left alone?*When alone, where will your dog be kept?*Where will your dog sleep at night?*Do you plan on using a dog crate?*Are there currently animals in your home?--- Select ---YesNoIf yes please list them, including type (dog, cat, bird, etc.) gender, spayed/neutered, breed, age: Back Next *Please list all the pets you have owned in the past 10 years, other than the one’s you presently have, and what happened to each of them. Please be very specific.*Have you ever bred or raised dogs?--- Select ---NoYes*Why do you want to adopt this breed of dog?*When you go on vacation, where would your dog stay while you're away?*What would you do if you moved somewhere and they don’t allow pets? Back Next How would you handle the following behavioural problems?*Jumping on furniture:*Excessive barking:*Chewing:*Digging*House soiling:*Aggression toward other dogs:*Aggression toward humans:*Which of the above would cause you to return the dog to the rescue? Back Next Describe the type of dog you are looking for:*Size preference:--- Select ---SmallSmall to mediumMediumMedium to largeLargeSuper largeNo preference*Age preference:--- Select ---Puppy (new born)Under 1 year2 - 4 years5 - 6 years7 - 8 years9 - 10 years10 years or olderNo preference*Gender preference:--- Select ---FemaleMaleNo preference*Desired level of activity:--- Select ---Couch potatoLowMediumHighNo PreferenceOther preferences or traits not mentioned above:*Would you be willing to adopt a special needs dog? (health problems, behaviour problems, etc.)?*If the dog you are interested in is no longer available, would you be interested in another one of our dogs? Back Next REFERENCES (Please DO NOT use relatives for your references) Reference 1 - Your VetNOTE: Please call your vet and give them permission to speak to us. They will not give us a reference unless you do.*Vet Name / Vet Clinic:*Vet office phone number (including area code):*Vet address:Reference 2*Name:*Relationship to you:*Email address:*Phone Number Ref #2*Best time to call Ref #2Morning before 12PMAfternoon - 12PM - 7PMAfter 7PMReference 3*Name:*Relationship to you:*Email address:*Phone Number Ref #3Best time to call Ref #3Morning before 12PMAfternoon - 12PM - 7PMAfter 7PMPlease use the area below for any other comments or questions you may have.Is there anything else you'd like to tell us? Back Submit
