Pet Adoption Application Form
Name of Pet You Wish to Adopt
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Full Name
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First Name
Last Name
Email Address
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example@example.com
Date of Birth MM/DD/YYYY
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Phone Number
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Emergency Contact ex) Full Name(relationship)/phone number
*
Type of Residence
*
House
Townhouse
Condo
Apartment
Other
Do you own or rent your home?
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Own
Rent
Do you have a yard?
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Yes
No
Is it fenced? please describe
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If you are renting, does your landlord allow pets? YES or NO
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Are there children in the home? (If yes, please list ages)
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List all members of your household, including age and relationship
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Who will be the dog's primary caregiver?
*
What is your occupation, employers and typical work schedule (write in detail)
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Co-Applicant's occupation, employers and typical work schedule
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Are any family members allergic to dogs? If you have CAT allergies, please check OTHER
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YES
NO
OTHER
Why are you choosing to adopt a rescued dog when you can purchase a dog more conveniently from a pet-store?
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Are you ready to commit (approx. 15 years) to care for a rescued dog?*
*
Please write in detail, why you want to adopt this particular rescued dog and why not any other rescued dog?
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How knowledgeable are you about rescued dogs? Please explain any experience or knowledge you have about rescued animals.
*
How familiar are you with the breed you are hoping to adopt?
*
Do you consent to neutering/spaying the dog?*
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YES
NO
OTHERS
What do you plan to do with the dog if there is a change to your family makeup due to marriage, pregnancy/birth, and/or moving?
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Do you currently own pets?
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YES
NO
Pet Breed(s)
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Pet Name(s)
*
If yes, please provide in detail. 1)Age 2)Gender 3)Neutered(Y/N) 4) Behaviour towards other dogs
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Please share your pet experience in the pastKind of animal / Breed / Gender / Age / Neutered (Y/N) / What happened?
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Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter?
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Yes
No
How many times/how long are you planning to walk the dog?*e.g.) ________ times per day for _________ minutes per walk
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How many hours per day would the pet be alone?
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If you have to leave town, emergently or planned, where would your pet stay?
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How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet?
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If you receive complaints about excessive barking, what would you do?
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What type of food are you planning to feed the dog? (please be as specific; brand and name)
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Are there any dog behaviours that you don’t tolerate? Please, list if there are any.
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How would you correct such undesirable behaviors?
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If necessary, are you willing to take any professional dog training sessions with the dog?
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YES
NO
OTHER
Under what circumstance do you see yourself rehoming/surrendering the dog?
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Off the top of your head, list types of routine vet visits you think you need to provide yearly
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How much do you guess to spend at those vet visits per year?
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In the event of an emergency, what is the estimated vet bill you can afford?
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Please list 3 things that you can do to ensure the dog does not get lost
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Do you know how to register microchip information? If yes, then how?
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Do you promise to share pictures/videos of the dog on 1st, 3rd, 7th, 14th, and 30th day and at least once a month afterward? If yes, please, Sign.
*
The dog was rescued by individual rescuers and a lot of people are helping, so that this adoption is possible. Our rescue team wants to make sure that the adopters and our rescue dog adjust well to a new environment without any setbacks.
Are you comfortable with your postings being shared on other social network platforms?*Other social network platforms include, but are not limited to, Welcome Dog Rescue Canada and Welcome Dog Korea’s Website/YouTube/Facebook/Instagram. This helps bring awareness of animal rights and end the dog meat trade.
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YES
NO
Do you consent to a home inspection?*Home inspection can take place any time before the adoption and/or after the adoption/ would ask for the home photos & videos
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YES
NO
OTHERS
Do you understand you cannot rehome/resell the dog for any reasons?
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YES
NO
OTHERS
Adopt Jindo Rescue takes lost dog prevention very seriously! The transition into a new home can be a stressful and scary experience for even the most-well adjust dogs. Due to safety reason, in addition to the adoption fee, we would ask the families to pay for extra fee for the Tractive GPS Subscription fee, Crate. There will be additional about CAD150 +Adoption fee when adoption is granted. If you agree, please, sign.
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We will only be using the brand "Boondog" which was the safest, toughest and most well-made product that we have found in the industry.
Are you aware that the adoption fee is not refundable?*The only case where the adoption fee is returned in full is when the dog is not handed over to you as scheduled. When you can no longer care for the dog, you will not receive a refund.
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YES
NO
OTHERS
Do you consent to contact us within 5 hours after the dog goes missing?*
*
YES
NO
As a next step, we will send you an email within 2-3 days of applying. Please check your spam/junk box if you did not hear back from us.
*
OK
Is there anything you would like us to know or wish to disclose to our organization? If yes, please write in detail.
*
By clicking the submit button, I agree to go adoption process, will undergo a homecheck, and interview. .
By clicking the submit button, I understand that Rescue Center will disclose any of the pet's health or behavior issues known by the above-named rescue group before adoption is completed.
By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet to Rescue Center and provide transport to where Rescue Center deems appropriate.
By clicking the submit button, I verify all of the above information is true and accurate.
How did you hear from us?
adoptapet
pet finder
facebook/instagram
others(friends/family/fostering)
google search
Date
*
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Month
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Day
Year
Date
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Signature of Potential Pet Parent
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