Released Dog Application
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Have you applied for a dog through any of our other programs? (MSD, PTSD, Companion)
*
Number of Adults living in the home:
*
Number of children living in the home
Ages of Children
How did you hear about DWW?
*
What are your work hours/how long will the dog be left alone?
*
Do you currently own any other pets?
*
Yes
No
What are they and what is their age, breed, sex, and whether they are spayed/neutered.
Are their vaccinations up to date?
Yes
No
Describe any past experience with dogs:
*
Have you owned a dog with behavioural challenges before?
*
What behaviours would be deal breakers for you?
*
Have you ever had to give up a dog/pet?
*
Yes
No
If yes, please explain why:
Will the dog live in the home as a family pet?
*
Yes
No
What is your training philosophy?
*
Is your yard fenced and secure?
*
Yes
No
How do you plan on exercising the dog and how often?
*
Are you willing and able to provide routine vet and health care for the rest of the dog's life?
*
Yes
No
Do you have any preferences?
*
Yellow Labrador
Black Labrador
Female
Male
Adult
Puppy
Retired Dog
Unqualified for Health Reasons
Unqualified for Behavioural Reasons
No Preference
Do you have a preference for a specific listed dog? Are you open to other dogs if we find a better match for your lifestyle?
*
Why would you like to adopt a Released Dog?
*
Comments and Questions:
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References
Reference 1
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Years known
*
Reference 2
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Years known
*
Submit
Should be Empty: