Adoption Form
Applying for:
Date
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Type Of Dwelling
House
Townhouse
Apartment
Other
Do you own or rent?
Own
Rent
Is your yard fenced?
yes
no
If your yard is not fully fenced, how do you intend to keep the dog safe while outside?
Are you willing to tether your dog while outside for their safety- if no other means of confinement?
Yes
No
What is your current Occupation?
Who will be the pets primary caregiver
Does everyone in the home agree to a getting a pet?
Yes
No
How long will the dog be alone during the day?
How many adults live in the home?
How many children live in the home?
How old are the children?
Do you have any other pets?
Are they Spayed or Neutered
Are they obedience trained?
What is your current dog(s) personality eg. dominate, submissive, hyper, calm, would lick a burglar to death and show him the fridge
What is your current dog(s) activity level?
How does your current dog(s) behave around food, toys, receiving attention?
Does your current dog(s) have a dislike or preference for male or female dogs?
Do any of your close neighbours have a dog?
Yes
No
If YES, please describe their reactions to other dogs?
Are you willing to use a crate for sleeping, while your out, safety
YES
NO
Where will the dog stay the night?
Do you have other dogs visiting your home?
YES
NO
Describe Dogs that visit please.
Have you ever given an animal up?
Where will the pet stay while you are away from home?
Describe the method of discipline you will use towards a puppy or dog, are yiu planning on obedienceckass if so where:
What type of food do you plan to feed?
Have you owned this type of Dog before?
Yes
No
Why are you interested in the dog you are applying for?
*
What kind of traits are you looking for in a companion?
Are there any characteristics that you find unappealing or have concerns about?(Please state):
Have you researched this breed to learn about their unique characteristics?
Are you willing to work through behavioural issues (with the help of a trainer)?
How often do you take vacations?
What would you do if you had to move and your new accommodations would not alloow pets?
What would you do with your pet if you went on vacation?
How far are you willing to travel to meet and foster/adopt a dog?
Do you have any additional comments, questions or concerns?
Reference 1 - Name: Reference 1 - Phone Number:
Reference 2 - Name: Reference 2 - Phone Number
Vet Name and Phone Number
Adoption Fee is $850.00 unless otherwise indicated and includes but not limited to:Spay or Neuter, Rabies, DH2PP, Bordetella, heartworm checked, Microchip, 30 day Health Plan - lepto and other vaccines are additional charges, additional flea and tick prevention is available at an additional cost
*
I have read and understood the above statement
BY SUBMITTING THIS APPLICATION I UNDERSTAND THAT: THE COMPLETION OF THIS APPLICATION DOES NOT GUARANTEE THAT I WILL BE APPROVED I HEREBY AUTHORIZE ICE FOUNDATION K9 RESCUE THE RIGHT TO VERIFY THE ANSWERS GIVEN IN THIS APPLICATION I/We have read and understand all of the above.
*
Agree
How did you hear about Ice Foundation K9 Rescue?
Signature
*
Submit
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