First & Last Name
Required
Street address
Required
city
Required
Province
Required
Postal code
Required
Email address
Required
Primary phone
Required
Secondary phone
What is the best time to reach you?
Required
Preferences
Are you interested in a specific dog?
Required
Why are you interested in this dog?
Required
Have you ever owned a dog of this breed before?
Required
Have you researched this breed to learn about their unique characteristics, idiosyncrasies, potential health issues, etc?
Required
Are there any characteristics of dogs that you find unappealing or have concern about?
Required
How far are you willing to travel to meet and adopt a dog?
Required
Family & Home Information
Do you own or rent your home?
Required
What style of home is it?
Required
How many adults are living in the home?
Required
Please list the number and ages of the children living in your home.
Required
Do you have children (eg. grandchildren), visiting your home regularly?
Required
Is everyone in the family in agreement on adding a dog to the family circle?
Required
Does any family member have allergies to animals?
Required
Do you currently have a dog(s)?
Required
Are they spayed/neutered?
Have you done any training with your dog(s)?
What is your current dog's energy level?
How does your dog(s) react to other dogs?
Do you have any other pets in the home?
Required
How do these pets react to other dogs?
Is your yard fully enclosed by a fence and gated?
Required
If your yard is not fully fenced, how do you intend to keep your dog safe while out for potty breaks?
What has happened to any dogs you have owned in the past?
Have you ever given an animal up?
Required
What behaviour in a newly adopted dog would cause you to return that dog to us?
Required
Care for Your Dog
How long will your dog be left alone during a typical day?
Required
Are you willing to housetrain a dog?
Required
Do you believe in crate training a dog?
Required
Where will you keep your dog during the day?
Required
Where will your dog sleep at night?
Required
How will you alleviate your dog's boredom during your absences from the home (eg. while at work)?
Required
Where will your dog stay while you vacation?
Required
What type of activities do you intend to do to exercise your dog?
Required
How much time will you spend exercising your dog each day?
Required
Describe what you would you do if your new dog chewed your shoes.
Required
Are you willing to seek guidance with your adopted dog, should you experience training or behavioural challenges?
Required
References
Please list a veterinary reference who has known your animals
Please list a non-relative personal reference who knows you and your animals
Required
Please include any additional comments you may have
