Adoption Application

Which dog are you applying for?*

Applicants Name *

First NameLast Name

Email Address*

example@example.com

Phone Number*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How long have you lived at your current address?*

Do you have plans to move from your current address within the next 3 months?

Are you the primary home owner?*

YesNoI am a tenant

Landlord's name and number

Please select which best applies to your home*

BalconyFully fenced yardPartially fencedNo Fence

Do you have a pool in your backyard?*

YesNo

How many people are there in your household and please provide the ages of any children. *

Does anyone in your household show signs of allergies to dogs?

YesNoSometimesUnsure

Do you currently own any other pets?*

Dog(s)Cat(s)OtherNo

Please tell us about your pets, both current and previous.*

Please list name, type, age, weight, gender, behaviour, neutered/spayed. If you have not owned any pets previously, please describe any experience you have with animals. If none, put N/A.

How will you introduce your new dog to the current pets in the household?

Please tell us what kind of dog it is that you are looking for.*

Age, gender, breed, energy level. Please note our dogs are typically 50-100lbs and non-hypoallergenic

What qualities are you looking for in a dog? Please select your top 3

Please provide your veterinarian's name and phone number.*

If you do not have a current vet, please list one you plan to use

How do you plan on exercising your dog?*

Have you ever surrendered a pet you owned to any animal shelter or rehomed one?*

YesNo

If you answered "Yes" to the above question, please provide detail:

How many hours per day would the pet be alone?*

When you are not home, your dog will be (check all that apply):

Will you be crate training your dog?*

Behaviours that you are NOT willing to work with or situations that would cause you to return this animal are:*

Please provide the name of the trainer or organization that you will be taking your dog to for training*

Please explain why you think this dog is the right fit for you/your family*

Consider your lifestyle, expectations of a new pet, training they may require and behavioural needs, as well as your previous experience

If you have to leave town, emergency or planned, where would your pet stay?*

How much do you expect to spend annually on your pet?*

How long have you been looking for a dog and have you been turned down?*

This is your chance to tell us a little more about you and why you want to adopt from Northern Connection.*

Please provide 3 references that we may contact for a character reference. *

Please include full name, phone number and their relationship to you

Please provide 3 contacts that we may contact for a character reference*

How did you hear about us?*

How did you hear about us?

By clicking the submit button:

I agree to Northern Connection's adoption process, that I will undergo a homecheck, and interview at the discretion of Northern Connection. I understand Northern Connection's Adoption Coordinator will check my references including veterinary and personal.
I understand there is no "cooling off" period, and that if I no longer want or can no longer care for my adopted pet, I agree to notify Northern Connection BY EMAIL and provide a 14 day period to allow Northern Connection to make arrangents for my pet to be taken back into rescue without a refund.
I agree to indemnify and hold harmless Northern Connection against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.
I understand that Northern Connection will disclose any of the pet's health or behavior issues known before adoption is completed.
I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will will contact Northern Connection first. Northern Connection will request a full wellness test along with updated vaccines before considering the return of a dog.
I verify all of the above information is true and accurate.

Signature of Applicant*