It's A Dog's Life

Kenora's Dog Fostering Network

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Online Adoption Application

Name of Dog Apply to Adopt:

Name: *

email address *

Phone Number(s) *

Address (mailing and/or physical) *

Please Indicate your age range: *

< 18

19 - 21

22 - 30

31 - 45

46 -60

60 +

Are you currently employed? *

Yes

No

Employment details (type of work, employer, work schedule): *

Have you ever been convicted of a criminal offence?

yes

no

If YES, please explain.

What type of home do you live in? *

Apartment

Condo

House

Acreage

Farm

Do you Own or Rent? *

Own

Rent

If you rent, please provide your landlords name and phone number:

Do you have a fully fenced yard?

Yes

No

6 ft

If NO, how will you keep this dog contained?

If you move what will happen with the dog?

If you are planning to have children, will the dog remain a member of the family?

Yes

No

Please list names, ages and relationships of all other household members:

Are all household members in favour of this adoption?

yes

no

Do any household members have allergies or asthma that may be aggravated by the addition of a dog?

Yes

No

What is your reason(s) for wanting to adopt a dog?

Companion for person

Companion for dog

Children's pet

Working dog

Sport dog

Guard/Protection Dog

Have you previously owned a dog?

Yes

No

Do you currently own a dog?

Yes

No

Have you previously applied to adopt a dog from other rescues or shelters?

Yes

No

If YES where did you apply?

If YES, were you approved for adoption?

Yes

No

If YES, please explain:

Please list types, breeds and ages of other animals in the household and whether they are up to date on vaccinations and spayed/neutered:

If not spayed/neutered explain why not:

Please list types of animals that have lived with you in the past 5 years and are no longer in your care. indicate the reason that they are no longer with you.

What age(s) of dog are you interested in adopting?

Young puppy (under 12 weeks)

Puppy (3 - 12 months)

Young Adult (12 - 18 months)

Adult (18 months - 7 years)

Senior (0ver 7 years)

What sex do you prefer?

Male

Female

No preference

Do you have a breed preference?

Yes

No

If YES please state what breed(s)

Would you consider a mixed dog breed?

Yes

No

What type of coat do you prefer?

Smooth/short coat

Rough/long coat

No preference

Is there a household member home during the day?

Yes

No

If NO, how long will the dog be left alone?

Where will your dog be when you are away from home?

Where will the dog spend the majority of time when the family is home?

Where will the dog sleep?

How important is it that the dog you adopt is housebroken on a scale from 1 to 5 with 5 being the most important.

1

2

3

4

5

Do you plan to enrol the dog in obedience classes?

Yes

No

If NO, how do you intend to train the dog?

Are you willing to buy and use a kennel/crate if recommended?

Yes

No

What activity level(s) are you looking to adopt?

Moderately active

Fairly lively

Energetic

What is your experience with training?

Housebreaking

Home obedience

Advanced obedience

Are you willing to housebreak your adoptive dog?

Yes

No

What types of behavioural training have you had experience with, if any?

Chewing

Jumping up

Socializing with dogs

Socializing with adults

Socializing with children

Fearful/anxious dogs

Nipping

Dominance

Human aggression

Other

What types of the above behaviours would you prefer to not deal with?

Would you allow It's a Dogs Life to come to your residence and perform a home visit?

Yes

No

White It's a Dogs Life does our best to disclose any behavioural problems that we are a aware of, do you understand that rescued dogs may have a history of behavioural problems common to its particular breed or related to previous ownership?

Yes

No

If you have any comments, questions or concerns, please take the time to indicate them below.

Please list two personal references and their phone numbers. No relatives please.

What veterinary clinic do you currently or have previously used?

VETERINARY INFORMATION By completing this section of our adoption form, you are authorizing the following veterinary clinic to release any and all information regarding current and previous animals in your care.

Who is your veterinarian?

Veterinarian's Phone Number:

May we contact your veterinarian?

Yes

No

Any information we request and receive will be kept private and confidential. Information will not be shared without written consent from the adopter. If authorization is denied or not granted, the adoption will not be completed and the dog will remain in or be repossessed from the adopter by It’s A Dog’s Life.

Fill out the captcha below to submit your application.

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