Dog Adoption Form

DOG ADOPTION APPLICATION
Haven of the Heart Animal Sanctuary and Rescue

Adjala, Ontario,Canada L0N 1P0
Your Name*

First NameLast Name
Spouse/ Roommate/Partner Name

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Animal for this inquiry? Dog/ Cat name . If unknown specify what type of pet you are looking for.*
Home Phone Number*

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
How long have you lived at this address?*
Are you planning to move in the next year?*

YesNo
Do you rent or own?*

RentOwn
Please specify they type of property the animal will live on.*

Subdivision LotTownhouseApartment/CondoBasement ApartmentRural PropertyFarmVacant property
If you rent do you have your Landlord's permission and contact information?
What is your age?
How many people live in your home?*
List children's ages*
How long will the animal be alone on average?
What is the occupation for each member of the household? We ask this question because some animals are not suited for a busy household.*
Do you have a fully fenced in yard or enclosure on your property?*

YesNoPartial
Type of fencing and height*
If you are adopting a dog do you have a pool, pond, river or lake on your property?*

NoAbove-ground poolOn-ground poolIn-ground poolPond, river or lake
If yes to pool do you have the pool area fenced in or a secure safety cover for off season?

No PoolFenced in pool areaSafety CoverNone
Where will the animal live?*

IndoorExclusively Outdoor
Where will the animal stay during the day?
Where will the animal sleep at night?
Are there any other animals at present in the home? List number, species and for dogs please specify sex, age and breed mix.*
Will you have your animal spayed/neutered?*

YesNoAlready Altered
Will you take your animal for annual check-ups and routine vaccinations with a veterinarian?*

YesNoSometimes
If you currently or previously owned animals can you please provide your Vet Clinic name and number? Please CALL YOUR VET so they can release your pets information when we call.*
If you currently or previously owned animals can you please tells us where the animals came from. (Breeder, Shelter, Rescue, etc.)*
Have you ever had to re-home an animal for any reason?*
Can you please provide 2 personal references . (Name, email address and contact number)*
What is your previous experience with dogs and list breeds.*
Have you ever used a trainer? If so please list trainer's info.
Why do you feel this is the right time to adopt a dog and what are you expecting from the dog.*
Any additional information you would like to add.
Our adoption process starts with this application so we can save time for both you and Haven of the Heart, while we make sure the animal you are interested in is the right match for you. Next steps, we will do a phone interview, we will call your personal references, and or your vet reference, and then a home visit (During COVID-19 we are accepting virtual home tours in the form of photos and videos) so we have the opportunity to see where your new family member will live. If you meet the criteria for the animal you applied for we will then arrange a time for a meet and greet. We receive many applications for our animals and we need time to review each one to find the right match.

Haven of the Heart Animal Sanctuary is a registered non-profit organization

Charitable# 888031242RR0001

Thank you for your information.

Ursula-Haven of the Heart

https://havenoftheheart.wordpress.com/
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DOG ADOPTION APPLICATION

Haven of the Heart Animal Sanctuary and Rescue