K9 Advocacy Dog Application Form

K9 Advocacy MB Dog Adoption Application
Name of DOG you are applying for:*
***IF YOU ARE APPLYING FOR A CAT, PLEASE SEE THE CAT APPLICATION FORM****
Is this a foster fail?*

YesNo
Applicant Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long have you lived at this address?:*
Do you rent or own?*

OWNRENT
If renting, do you have permission from your landlord?

YesNo
If renting, do you have to pay a "Pet" deposit?

YesNo
If you rent, please supply Landlord Name, Company, and contact number
If renting, are there any restrictions? Size, age, quantity etc.
Applicant(s) Age:*
Are you planning any of these events in the next few months?*

Yes - MoveYes - Job ChangeYes - VacationNo - None of the above
If yes, what are your plans for your pets?
Primary Phone Number*
Cell Phone Number
E-mail*
example@example.com
Do you own your own home?*

YesNo
Type of Residence*
If no, name and phone # of landlord:
Name and age of ALL occupants in household (including yourself):*
Do you have dogs now? If so, tell us a little about them including breed, age, gender, spayed/neutered, good with other animals etc.*
Do you have any cats or small pets now? If so, tell us about them including their species, age, gender, spayed/neutered*
Do you have any restrictions on adopting a dog? *
This would include breed, coat length, size, energy level etc.
What kind of activities would you enjoy doing with your dog?*
If no children, do you plan on having children or will children be visiting the household frequently?*

YesNo
What is your reason for wanting to adopt a dog?*

HousepetCompanionCompanion for petGiftGuard DogOther
If other, please explain:
Where will your dog sleep?*

Wherever they wantShare owners bedDog bedCrate or kennelShed or GarageOutside or dog houseIn a designeted area of the house (ie. Laundry room, gated area etc)
How many total hours will your new pet be left alone during the day?*
Do you have a fenced yard?*

YesNoPartially fencedAcreage
If yes, how tall is your fence?:
Do you have locks and/or latches on all your gates?

YesNoN/A
Will your adopted dog or do your current dogs be put on a tie out?*

YesNoNot sure
If there is no yard or no fence, please explain how you will be letting your dog out for bathroom breaks:
Are any members of your household allergic to animals?*

YesNo
If yes, please describe:
Who will have chief responsibility for the care of your new pet?*
Over the past 5 years, how many pets have you owned? (Include current pets)*
List each individually including breed, age, still living with you? (if not, why?)*
Have you ever lost or given away a pet?*

YesNo
Are your present pets up-to-date on their annual vaccines?*

YesNoN/A
If no, please explain:
Are your present pets spayed or neutered?*

YesNoN/A
If no, please explain.
Were your previous pets spayed or neutered?*

YesNoN/A
If no, please explain.
How much do you expect your dog to cost per year? Including vetting, food, boarding, licensing, training etc. ?*
What plans do you have for your new pet if you go on vacation or travel for work etc?*
Can/Will you provide your dog with monthly heart worm/flea/tick prevention?*

YesNo
Who is your current or most recent veterinarian? Please provide their NAME and PHONE NUMBER:*
If your dog displays behavioral problems (such as jumping on people,excessive barking, potty accidents, etc.) how would you go about correcting the behavior?*

Contact a ProfessionalUse a bookPersonal KnowledgeOther
If other, please explain:
What type of solution would you be willing to try if housebreaking accidents continue after the first week (check all that apply)?*

Try crate trainingUse positive enforcementUse potty padsHave dog examined by vetUse a dog doorReturn dogNoneOther
If other, please explain:
Is your entire immediate family in agreement with the decision to bring a new pet into your home?*

YesNo
If anyone is NOT, please explain:
Are you prepared to commit to a pet for 15 - 20 years (average life span)?*

YesNo
Are you prepared for the fact that even with great vigilance, puppies can sometimes chew furniture, clothing, shoes etc.?*

YesNo
Are you aware that small objects are a very real choking hazard for dogs?*

YesNo
Are you aware that puppies need to have 3 parvo/distemper vaccinations before it is safe for them to go out in public places or with other unvaccinated dogs? Are you prepared to follow our vaccine guidelines if adopting a puppy from us?*

YesNo
Are you willing to work on any behavioural issues? Are you willing to work and pay for a trainer if issues arise in the future?*

YesNo
Are you willing to attend obedience training with your dog or pay for obedience classes if required?*

YesNo
What is your philosophy or method of training a dog? If necessary, how will you discipline your dog?*
Have you ever dealt with behavioural issues before? If yes, please describe:*
Have you or any member of your household ever been charged with cruelty to animals or negligence in animal care?*

YesNo
If yes, please describe:
Have you ever crate trained a dog before?*

YesNo
Have you ever housetrained a dog before?*

YesNo
If you selected outdoor, would your dog be supervised?

YesNo
If you are required to move in the near future and cannot find a home permitting animals, what would you do with them?*
For what reasons would you return an animal?*
If something happens to you, who would care for your animals?*
Have you reviewed our website, including the application fee and what is included?*

YesNo
Please provide 2 personal references (only 1 can be a relative) that can testify to your responsibility and ability to care for your animals. This is required or your application cannot be approved.
Reference #1*
First and Last Name & Relationship to Self
Reference # 1 Phone Number*
Reference #2*
First and Last Name & Relationship to Self
Reference #2 Phone Number*
If there is anything else you think we should know, please note it here.
Please check the following to acknowledge:*

I agree to pay the set adoption feeI agree to license my pet as per the current city by-lawsI agree to provide proper care for my new pet including annual vaccines/tick/flea and heartworm preventionI agree I am adopting the dog for myselfI agree to not giveaway, sell or trade my dogI agree to notify K9 Advocacy MB immediately if I can no longer care for my adopted dog and allow K9 Advocacy MB reasonable time to rehome my dog or place my dog in an approved foster home.I agree to accept responsibility and ownership of the dog at my own risk and I release K9 Advocacy MB from any and all liability arising out of possession and ownership of my dog.I/we affirm that no member of my household has ever been convicted of an animal welfare law violation such as neglect, cruelty or abandonmentI understand that a home visit may be requiredAll puppies adopted through K9 Advocacy MB MUST be spayed/ neutered by 6 months of age. If the alteration doesn't take place by 6 months of age, K9 Advocacy MB retains the right to repossess the dog. The adoption fee will not be refunded.I/We understand that the adoption fee will not be refunded for puppy adoptions.I/We understand that if an adult dog is returned during the 2 week adoption trial, 50% of the adoption fee will be refundedI declare that I am the person identified in this application and that I understand the contents and obligations herein.By affixing my electronic signature below, I acknowledge that this electronic signature constitutes a legal and binding execution of this application in the same manner as if I had manually signed a paper version of this application.
YOU WILL RECEIVE A CONFIRMATION EMAIL WHEN YOUR APPLICATION GOES THROUGH- If you don't receive it, it didn't go through. Please remember, it may take approximately 2 to 3 business days for us to get back to you.
Signature*

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Thank you so much for wanting to rescue a dog!!
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K9 Advocacy MB Dog Adoption Application

Please provide 2 personal references (only 1 can be a relative) that can testify to your responsibility and ability to care for your animals. This is required or your application cannot be approved.

YOU WILL RECEIVE A CONFIRMATION EMAIL WHEN YOUR APPLICATION GOES THROUGH- If you don't receive it, it didn't go through. Please remember, it may take approximately 2 to 3 business days for us to get back to you.

Thank you so much for wanting to rescue a dog!!