Foster or Adopt Dog Application

Thank you for giving a homeless dog a second chance, either by temporarily providing a home, or hoping to bring them home forever, we welcome you into our family!

Please note; this form does not gurantee you will receive a dog; this form is the first step in a process to determine if the dog you are inquiring about will be a good fit to your home and family. We pride ourselves on matching the right animal to their perfect home.

Please read all the questions carefully and answer as thoroughly as possible.

Name *

First Name Last Name

Your age: *

Phone Number *

Area Code Phone Number

Email *

example@example.com

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Your Occupation: *

Name of the dog(s) you are interested in: *

Are you expecting to Foster or Adopt

Foster Only Adoption

Is this dog for you or someone else? *

List all occupants of the house including ages and occupation

Name

Age

Occupation

1.

2.

3.

4.

5.

If there are children (under 15) in the home, please describe how you will create a safe environment for both dog and youth; in home and in the community.

How long have you lived at this address? *

Do you rent or own? *

Renting Own Live with Parents Other

If renting, please provide the name and contact number of your landlord.

What type of home do you have? *

If in an apartment; do you have a balcony/sunroom?

If in a townhouse or house; what type of fence do you have?

If in a Townhouse or House; do you have a fenced in yard?

Does you home have air conditioning?

Yes No

Why would you like to adopt/foster a dog? *

FOSTER ONLY: How long are you able to commit to fostering?

Have you ever adopted/fostered from a rescue before? *

Yes, many times Yes, once before No, but I've had dogs before No, this will be my first dog

Do you smoke (tobacco or other products) in the home? *

Where do you plan to house the dog during the day? *

Include while you are home, and while you are out of the home

Where will the dog be sleeping at night? *

How long will the dog be left alone per day? *

If alone more than 8 hours, what is your plan for mid day potty breaks?

Is anyone allergic in your household? *

What is the typical activity/energy of your household? *

Who will be responsible for feeding the dog? *

Who will be responsible for training? *

Name all the pets currently in your home?

Name

Species

Age

Spay/Neuter

1.

2.

3.

4.

5.

Are your current pets up to date with vaccines? *

What is the name and contact information of your current vet office? *

What animals have you owned before? *

How many dogs have you owned before?

In the past; have you had any issues that were difficult for you?

List your top 3 dog breeds:

Please list your preferences or limitations: *

Consider size, hair, exercise, etc

What age are you considering? *

Puppy Young Adult Senior Open for consideration

What size dog are you considering? *

Less then 25lbs 25-50lbs 50-100lbs 100lbs+

What energy level are you expecting with your dog? *

Low/quiet Medium High

How do you discipline or correct a dogs behavior? *

How much exercise can you provide the dog, daily? *

Less then an hour 1-2 hours As much as possible

How much experience do you have with dogs? *

New to dogs Owned 1-2 calm dogs Experienced

How much do you plan for monthly expenses: *

DOES NOT APPLY TO FOSTER PARENTS

Are you prepared, financially, for medical care should your pet become sick or injured? *

THIS DOES NOT APPLY TO FOSTER PARENTS

Do you plan to take your dog to training classes? *

Yes, for sure Maybe, if there are issues No

In your opinion; what are the basic requirements of care for a dog you will provide? *

Dogs can live 10+ years; how are you prepared to handle the commitments; financially, socially, and emotionally; of your dog through its lifetime. *

I understand that Mississauga Humane Society is a donation based organization with no government assistance and relies entirely on the community for support.

As a ADOPTIVE PARENT, this means I understand there is an adoption FEE to be paid.

As a FOSTER PARENT, this means we strive to provide supplies for the animal while in your care, but cannot guarantee items like toys, treats, beds, etc will be readily available and may be required to purchase yourself.

*

I UNDERSTAND

I acknowledge the above information is accurate, and well represents my situation and experience with dogs.

I understand that Mississauga Humane Society will base their decision of dog placement based on this foundation of information and anything misrepresented or left out may lead to injury or personal harm.

*

I UNDERSTAND

Foster or Adopt Dog Application

Understanding/Acknowledgements