Dog Adoption Application

  • Broken Promises Rescue

    Dog Adoption Application

  • We are completely run by volunteers and receive dozens of applications a week.  Those short listed will be notified.  Thank you in advance for applying.

    OUR ADOPTION PROCESS:

    We are located in Victoria British Columbia.  We  are staffed entirely by volunteers and have no shelter or other facility.  Our wonderful foster families care for all adoptable pets.  If you are interested in adopting a pet, please read about our Adoption Process & Fees below for more information.

    https://brokenpromisesrescue.wordpress.com/adoptions/adoption-process/
     

    ** We do not sell, rent or exchange any personal information collected from our site visitors that has been gathered online.
     

    Helping Local and BC Animals

  • This questionnaire is designed to help Broken Promises Rescue find the best possible home for our adoptable dogs and puppies. All adopting parties are required to complete this form prior to adoption. 

  • Applicant Information

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  • Household Information

  • Are all members of your household in agreement with this adoption?*
  • Do you live in a*

  • Do you have any of the following that you plan to use for your new dog ?*

  • Do you own or rent?*
  • Are there any pet restrictions from your landlord? (Size, Breed, Weight ?)*

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  • Do you have Children in the home?*
  • Have your children been around animals before?
  • Does anyone in your home have allergies to dogs or have asthma?*
  • Do you agree to a Home Visit Prior to Adoption?*
  • Are you chosing this pet for yourself ?*

  • Current Pet Information

  • Do you currently have dogs in your home?*
  • Do we have permission to contact your vet for a reference?*

  • Previous Pet Information

  • Have you adopted before?*

  • New Dog Information

  • Do you want your dog to be off leash?*

  • How much exercise do you plan to do with your new dog ?*

  • Are you willing to work through your new pet's issues, if any?*
  • How much are you prepared to spend in ONE YEAR for your pet (This includes food, supplies, toys and vet visits etc.)*
  • How much are you prepared to spend at the vet in case of an emergency*
  • How often Will you take your pet to the vet ?*
  • Do you plan to get pet Insurance ?*
  • Why do you want this pet?*
  • Where do you plan to purchase your pet food ?*

  • Are you willing to purchase special food if needed or if your new pet has a preference to a special food ?*

  • What training methods do you plan to follow? Click all that apply*

  • What will you do with this pet if you have to move ?*

  • Do you agree to pay an adoption fee and have you read about our Adoption Process and Fee's ?https://brokenpromisesrescue.wordpress.com/adoptions/adoption-process/*

  • How did you find out about Broken Promises Rescue?*

  • Agreement & Signature

    Broken Promises Rescue attempts to give an honest evaluation of any cat based on our assessment or that of the source. Should you encounter any behavourial concerns, please contact us so we are able to work together to resolve the issues. 

    All applications are evaluated without bias. We evaluate based on the needs of the cat. Applications are not guarantee of acceptance. Any falsehoods will be automatic disqualification.  

    Thank you for wanting to opening your hearts and home to one of our amazing dogs! We appreciate your application and ask for your patience as we work through the applications.  We are 100% volunteer run so we try to get back to you as soon as we can. 

  • I understand that I assume full responsibility for the welfare of this pet from the date of adoption.

    By submitting this application, I affirm that what I have submitted is truthful and complete. I also understand and agree to the policy as outlined in this document.

  • Should be Empty: