Dog Adoption Application

Dog Adoption Application
Calgary Animal Rescue Soceity is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and placement of stray, neglected and abused animals. Calgary Animal Rescue Soceity is completely funded through fundraising efforts and public donations. All of our pets are cared for by foster homes and receive complete medical care, which includes de-worming, vaccinations, spaying/neutering and microchipping prior to their adoption.
This questionnaire is designed to help Calgary Animal Rescue Soceity and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Calgary Animal Rescue Soceity reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!
Applicant Information
Name of the dog you are interested in:*
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Home Phone:*

Area CodePhone Number
Cell Phone:*

Area CodePhone Number
Email*
example@example.com
Your age:*
Your Family and Lifestyle
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Have all members of your household been introduced to the dog?*

YesNo
Does anyone in your home have allergies to dogs or have asthma?*

YesNo
How many adults are in your household?*
How many children are in your household?*
If children, what are their ages?
Have your children been taught the correct way to handle a dog? Please explain:
Do you have children that regularly visit your home?*

YesNo
How often do they visit?

DailyWeeklyMonthlyAnnually
How have you prepared your children to respect the dogʼs boundaries, observe its reactions, and avoid bites? Explain:
How busy is your family?*

Very BusyA littleSome whatNo at all
How active is your family?*

Very ActiveA littleNo at all
How regular is your schedule?*

Very regularVery irregularModerate
How would you describe your family’s personality? (e.g. loud, calm, nervous, social, homebodies, etc.*
Are you planning any of the following in the next two months?*

MovingVacationChange in scheduleOther
Your Home
What type of home do you live in? (Check all that apply)*

HouseApartmentCondoTrailerInner CitySuburbanAcreageRuralOther
Do you own or rent?*

OwnRent
If rent, provide name and phone number of landlord:
Does your landlord allow dogs?

YesNo
Are there any restrictions from your landlord or subdivision?

Number of petsSize or weight restrictionsBreed restrictionsNone
What will happen if your living situation changes and you canʼt take your dog to your new home? If your landlord or condo board reverses their decision to allow pets?
Do you have a yard?*

No yardFencedNot fencedPartially fencedWoodChain LinkOther
Height and type of fence*
Do you have any of the following?

Underground fenceKennelDog Run
Current/Previous Pets
Is there any dogs that live with you now?*

YesNo
If yes, how many and how old are they?
Do you have other pets?*

CatsBirdsRabbitsOther
How many of these pets are spayed/neutered?
Where are these animals now?
Have you adopted from an animal rescue group before?*

YesNo
If yes, what group?
Have you ever surrendered a pet to a humane society or rescue?*

YesNo
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:
New Pet Information
Who will be the dogʼs primary caretaker? *
Have you had dogs before?*

YesNoOnly as a child
Have you ever house-broken a dog or puppy before?*

YesNo
If the dog has an "accident" in your home, what type of correction do you plan to use?*
Where will your dog stay during the day when you are out of the home? (Check all that apply)*

Loose in the houseTied outsideOutdoor RunLoose outsideGarageCrate/Kennel IndoorsIndoor RunWith youOther
Where will your dog stay during the night? (Check all that apply)*

Loose in the houseTied outsideOutdoor RunLoose outsideGarageCrate/Kennel IndoorsIndoor RunWith you (bedroom)Other
Where will your dog stay when your family goes on vacation?*

At home with careBoardingWith family/friendsOther
How long, on average, will your dog be left alone each day during the week?*
How long, on average, will your dog be left alone each day during the weekend?*
What length of time will you allow your new pet to adjust to his new home?*
What activities do you plan to do with your dog? (Check all that apply)*

On leash walksOff leash walksSwimmingJoggingCyclingHikingAgilityFlyballObedience TrailsPet TherapySearch and RescueTrackingHerdingDock DogsHunting/RetrievingOther
How much do you expect to spend monthly?
Food expenses*
Veterinarian expenses*
Grooming expenses*
Boarding expenses*
Desired Physical Characteristics
Gender

MaleFemaleEither
Coat

ShortMediumLongHypoallergenic*Either
*It is not possiable to guarantee that a dog will be hyporallergenic
Age

Puppy (8 weeks to 6 months)Adolescent (6 month to 1 year)Adult (1-7 years)Senior (7+ years)Any
Breed/type/color?

I would like my new dog to:*

Rows	Very Important	Somewhat Important	No Important
Be friendly with children
Be friendly with other dogs
Be friendly with cats
Be friendly with me
Be friendly with visitors to the house
Enjoy being groomed
Enjoy being held
Enjoy being petted
Be calm
Be active
Be playful
Be quiet
Be independent
Never wake me up at night
Never show aggressive behavior
Be protective

Most of our dogs require training*

Rows	Yes	No	Not Sure
I need a dog that is already house trained
I need a dog that is already obedience trained
I am a first time owner
I have obedience trained before
I have lots of experience and could handle a difficult dog
I am willing to attend training classes

Dogs live on average 12 to 18 years (the oldest dog on record was 26 years old!). Please consider the next 15 years of your life- what do you expect to be doing and how will your dog fit into this lifestyle? *
Depending on the age of the dog you are considering for adoption, additional vaccine boosters may be required after adoption (in addition to yearly boosters). Are you prepared to accept the financial obligation for vaccine boosters and ensure that they are done on schedule?*

YesNoNeed more information
Your new dog may have come from a traumatic past, will be leaving the comfort of their foster home, and possibly leaving littermates, and may be very scared and unsure for the first couple of days. How do the members of your family plan to make this transition as easy as possible?*
Are you considering purchasing pet insurance for your dog?*

YesNoNot sure
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?*

YesNo
What circumstances would lead you to give up your new dog?*
If you had to give up your dog, what would you do with him/her?*
Reference:
Reference Name*

First NameLast Name
Relationship*
Address*

Street Address

Street Address Line 2

City Province

Postal Code
Phone Number*

Area CodePhone Number
Email
example@example.com
Reference Name*

First NameLast Name
Relationship*
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Phone Number*

Area CodePhone Number
Email
example@example.com
How did you find out about this animal?*

PetSmartPet ValuThe Body ShopFacebookPetfinder.comCARS websiteFriend/Family MemberOtherOther
Signature*
Should be Empty:

Dog Adoption Application

Applicant Information

Your Family and Lifestyle

Your Home

Current/Previous Pets

New Pet Information