You can always press Enter⏎ to continue
Adoption Application
Hi there, please fill out and submit this form.
START
1
Name of animal if known:
*
This field is required.
Previous
Next
Submit
Press
Enter
2
Have you reviewed our adoption process as stated on our website? If no, please review here before continuing on with this application: https://edmontonanimalrescue.org/adopt/
*
This field is required.
Yes
No
Previous
Next
Submit
Press
Enter
3
First and Last Name of Applicant #1
*
This field is required.
Previous
Next
Submit
Press
Enter
4
First and Last Name of Applicant #2 (if applicable)
Previous
Next
Submit
Press
Enter
5
Email (your preferred email for communicating with GEARS):
*
This field is required.
Previous
Next
Submit
Press
Enter
6
Address, including unit # if applicable:
*
This field is required.
Previous
Next
Submit
Press
Enter
7
City:
*
This field is required.
Previous
Next
Submit
Press
Enter
8
Postal Code:
*
This field is required.
Previous
Next
Submit
Press
Enter
9
Main Phone Number:
*
This field is required.
Previous
Next
Submit
Press
Enter
10
Secondary Phone Number:
Previous
Next
Submit
Press
Enter
11
Type of Residence:
*
This field is required.
Please Select
House
Apartment/Condo
Townhouse/Duplex
Acreage
Please Select
Please Select
House
Apartment/Condo
Townhouse/Duplex
Acreage
Previous
Next
Submit
Press
Enter
12
Do you:
*
This field is required.
Rent
Own
Previous
Next
Submit
Press
Enter
13
If renting, do you have permission from your landlord to bring an animal into your home? GEARS requires written consent stating that you are permitted to have animals on the premises. Please include this consent with your application
*
This field is required.
Yes
No
N/A
Previous
Next
Submit
Press
Enter
14
Please upload your landlord’s permission stating that it’s okay for you to have a pet in your home.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
15
If living in a condo/strata, do your by-laws have height or breed restrictions?
*
This field is required.
Yes
No
N/A
Previous
Next
Submit
Press
Enter
16
If yes, please indicate below what the restrictions are.
Previous
Next
Submit
Press
Enter
17
Is the primary caregiver over 18 years of age?
*
This field is required.
Yes
No
Previous
Next
Submit
Press
Enter
18
Who will be the primary caregiver of the animal?
*
This field is required.
Previous
Next
Submit
Press
Enter
19
Number of adults in the home:
*
This field is required.
Previous
Next
Submit
Press
Enter
20
Number of children in the home:
*
This field is required.
Previous
Next
Submit
Press
Enter
21
If children in the home as indicated above, please list ages here (include all children under 18 yrs. old). If no children, type “N/A”
*
This field is required.
Previous
Next
Submit
Press
Enter
22
Do you have a fenced yard?
*
This field is required.
Yes
No
Previous
Next
Submit
Press
Enter
23
How high is the fence?
Please Select
Shorter than 5 feet
5-6 feet
Over 6 feet
Please Select
Please Select
Shorter than 5 feet
5-6 feet
Over 6 feet
Previous
Next
Submit
Press
Enter
24
If you do not have fencing, how do you plan to exercise your dog and allow them to use the washroom? (If adopting a cat please put N/A)
*
This field is required.
Previous
Next
Submit
Press
Enter
25
What type of personality are you looking for in an animal? Check all that apply
*
This field is required.
Running partner
Walking partner
Couch potato
Working dog
Guard dog
Indoor cat
Outdoor cat
Previous
Next
Submit
Press
Enter
26
What age of pet are you looking for?
*
This field is required.
Young (6 months – 1 year)
Adult (1 – 6 years)
Mature (+6 years)
Previous
Next
Submit
Press
Enter
27
How many hours, on average in a day, would the animal be alone?
*
This field is required.
Previous
Next
Submit
Press
Enter
28
Where will the animal be when you are away from the home?
*
This field is required.
Previous
Next
Submit
Press
Enter
29
Where will the animal sleep at night?
*
This field is required.
Previous
Next
Submit
Press
Enter
30
Who will care for the animal when you are on vacation?
*
This field is required.
Previous
Next
Submit
Press
Enter
31
Who will care for the animal in case of an emergency and you cannot care for it?
*
This field is required.
Previous
Next
Submit
Press
Enter
32
Have you considered day to day expenses related to owning a pet?
*
This field is required.
Previous
Next
Submit
Press
Enter
33
Are you prepared for veterinary expenses, such as emergency medical care, that may occur?
*
This field is required.
Previous
Next
Submit
Press
Enter
34
Are you willing to commit to this animal for the remainder of its life? The average lifespan of a dog is 10-15 years and 15-20 years for a cat.
*
This field is required.
Previous
Next
Submit
Press
Enter
35
Do you have a plan in place should you permanently no longer be able to care for the animal?
*
This field is required.
Previous
Next
Submit
Press
Enter
36
Do you understand that we cannot guarantee the health and temperament of any animal but will make you aware of any known issues?
*
This field is required.
Previous
Next
Submit
Press
Enter
37
How do you plan to train your pet?
*
This field is required.
Previous
Next
Submit
Press
Enter
38
Please list your current pets including breed, gender, and age
*
This field is required.
Previous
Next
Submit
Press
Enter
39
Are your current pets spayed/neutered?
*
This field is required.
Yes
No
N/A
Previous
Next
Submit
Press
Enter
40
Are they up to date on vaccinations?
*
This field is required.
Yes
No
N/A
Previous
Next
Submit
Press
Enter
41
If your current pets are not spayed/neutered, please include the reason why:
*
This field is required.
Previous
Next
Submit
Press
Enter
42
Are you confident your current pet(s) will adjust to a new animal in the home?
*
This field is required.
Previous
Next
Submit
Press
Enter
43
If you have animals in your home currently, how do you plan on introducing your new animal to your current animal?
*
This field is required.
Previous
Next
Submit
Press
Enter
44
Do you understand that there may be an adjustment period before the animal forms a relationship with you and/or your family and/or your current pets? This is why we do a 1 week trial which allows the animal to decompress and feel comfortable in their new environment.
*
This field is required.
Previous
Next
Submit
Press
Enter
45
Do you fully commit to the entire 1 week trial adoption and understand that it will likely take more than just a few days for your new animal to acclimate to its new surroundings, people, and other animals (if applicable)?
*
This field is required.
Previous
Next
Submit
Press
Enter
46
Do you understand these adjustments may include housetraining and acclimation to a new environment?
*
This field is required.
Previous
Next
Submit
Press
Enter
47
Do you understand and agree to our adoption fees? Cats/kittens are $225, a pair (2) of cats/kittens is $350; Dogs under 1 year are $550, dogs 1 year and over are $500.
*
This field is required.
Yes
No
Previous
Next
Submit
Press
Enter
48
If you have had pets in the past five years that are no longer with you, please provide the reason.(Passed away from old age, accident, why euthanized, given away, etc)
*
This field is required.
Previous
Next
Submit
Press
Enter
49
Have you ever been convicted of a criminal offense relating to an animal or child?
*
This field is required.
Yes
No
Previous
Next
Submit
Press
Enter
50
If yes, please explain the circumstances.
Previous
Next
Submit
Press
Enter
51
How did you hear about GEARS?
*
This field is required.
Instagram
Facebook
Google Search
News
Friend or family member
Posters/Print ads
GEARS Event
Previous
Next
Submit
Press
Enter
52
*THIS IS REQUIRED: First and last name of reference #1, relationship to you and contact phone number*
*
This field is required.
We require at least one reference that isn’t a family member.
Previous
Next
Submit
Press
Enter
53
*THIS IS REQUIRED: First and last name of reference #2, relationship to you and contact phone number*
*
This field is required.
We require at least one reference that isn’t a family member.
Previous
Next
Submit
Press
Enter
54
*THIS IS REQUIRED: First and last name of reference #3, relationship to you and contact phone number*
*
This field is required.
We require at least one reference that isn’t a family member.
Previous
Next
Submit
Press
Enter
55
List any questions or concerns you have at this time. Please also feel free to include any other information that you feel we should know about you.
Previous
Next
Submit
Press
Enter
56
After submitting your application, please check your spam folder, and if using Gmail, please check your "social" and "promotions" tabs too for a response from us! We aim to respond within 5 days. Our promise to you is that we will not ghost you throughout this process; we please ask the same of you. If you are no longer interested in adopting an animal from us, please let us know so we can continue to search for that animal’s forever home. Thank you :)
*
This field is required.
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
56
See All
Go Back
Submit