Dog adoption application

Please complete the following application in full.

Incomplete applications may delay the adoption screening process.

Adopting a dog into your family is a big responsibility that will last for the dogs life.

Name of the dog you are interested in adopting:

First name:

Last name:

Co-applicant :


Phone number

Alternative number

Mailing Address :

Physical Address (If different from above):

Length of time at this address:


Age of Applicant :

How long have you been thinking of adopting a pet? :

Names and ages of other members of your household :

Does anyone in your home have asthma or allergies? YesNo

If yes please explain:

Is everyone in your home equally excited about adopting this dog?:

Please describe your home:

Please describe your yard:

Additional, Describe materials of fence height etc.

Do you rent or Own your home? RentOwnOther

Please note if you rent we will need written permission from your landlord stating you are allowed to have dogs. We will also accept a phone number where we can contact your landlord to confirm this.

What kind of pet are you looking for? IndoorOutdoorBoth

Where will the dog be primarily kept? Inside when I am not homeOutside when I am not homeInside in a crate when I am not homeOther

If Other, please explain:

Where will the dog sleep at night? Will sleep in bed with meWill sleep in a crate at night timeOther

If Other Please explain:

How many hours a day will the dog be without human company?

Work/life I go to school full timeI go to school part timeI work part timeI work full timeI work from homeI am retired

Your occupation/profession

Do you currently own any pets? YesNo

If yes, please include: sex, age, where you got them and any other information to describe your current animals

Veterinary Reference

You NEED to call your vet and let them know we will be calling to do a reference check on you and your pets and allow them to release your information to us. Please ensure your vet(s) will have the following information: Proof of spay/neuter Proof of vaccinations You MUST call and give your vet permission to speak with us after submitting your application or we will be unable to proceed and finish your application. Please call your vets the same time as submitting this application because our volunteers call and check your references as soon as we can and applications come in.

Please note that we do require all animals in the home to be up to date on their core vaccines, and spayed/neutered for both the health of the animals in our care, and your own personal animals.

Please ensure the vet(s) will have the following information:

Proof of spay/neuter

Proof of vaccinations

Are your current pets spayed/ neutered? YesNo

If not, why not?

Are your current pets up to date on vaccinations? YesNo

If not, why not?

Your vet's reference, name, number and address

In the absence of a veterinary reference please supply the contact details of two or three people willing to give you a personal reference. Please note, if you have current pets, a veterinary reference will be required.

Personal references

Have your pets ever had puppies or if male has he ever been bred previously?

If yes, please explain the circumstance and situation:

Have you ever owned any pets before?

If yes please list ages, and breeds as well as what happened to them?

Please Describe the activity levels in your home - LowMediumHigh

Describe the activities you enjoy (i.e. walking)

What methods will you use to teach your dog to go to the bathroom outside?

Describe how you will respond to puppy mistakes (i.e. chewing and barking)?

What will you do if behaviours arise? (i.e. chewing and barking)?

Is there anything else you would like to tell us about yourself or the dog you are looking to adopt or anything you think we should know please do so here

Do you understand that puppies and dogs can cause damage to your furniture, carpets, vehicles and belongings? - YesNo

Who will care for the animals while you are away (vacation etc)

Where will the pet be while you are away at work

What are you planning on feeding the dog?

What do you think is a reasonable amount per year to spend on the dog (food, vet etc) ?

The average lifespan of a dog can be between 10-15 years are you prepared to have a pet for this long? - YesNo

Have you applied for any other pets or are going to meet them? - YesNo

Can we ask that add our email address to you email address book to prevent any emails from us ending up in the junk folder?

You may also receive direct emails from, or