Adoption Application
Thank you for choosing to adopt. Please provide as much detail as you can to your application, this will allow for our team to thoroughly review and speed up the application process.
Name of the dog you are applying for?
*
Approximate age of dog being adopted?
Are you a current foster with K9 Advocacy MB?
Applicant Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Applicant Phone Number
*
Please enter a valid phone number.
Please list all the members of the household and their ages
Do you own or rent?
Landlord Name
First Name
Last Name
Landlord Phone Number
Please enter a valid phone number.
Do you have a fenced in yard?
No
Yes
Other
Do you have any pets currently in your home (types, ages, spayed/neutered, vaccinated)?
Where will the dog spend his days/nights?
How many hours will the dog be alone?
Are you prepared for behavioral issues that may arise with adopting a pet? (Example: jumping up, barking, scratching, separation anxiety)
No
Yes
Are you prepared to take any obedience or formal training class?
No
Yes
Are you prepared for shedding, nose prints and paw tracks?
No
Yes
Who is your current vet and can we contact them?
Veterinarian phone number
Please enter a valid phone number.
Reference #1 (not to include family members):
*
First Name
Last Name
Reference #1 Phone Number
*
Please enter a valid phone number.
Reference #2 (not to include family members):
*
First Name
Last Name
Reference #2 Phone Number
*
Please enter a valid phone number.
Please check the below to acknowledge
*
I agree to pay the set adoption fee
I agree to license my pet as per current city by-laws
I agree to provide proper care for my new pet, including annual vaccines/flea/tick and heartworm prevention
I agree I am adopting the dog for myself
I agree not to give away, sell, or trade my dog.
I 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 been convicted of an animal welfare law violation such as neglect, cruelty, abandonment etc
I understand that if necessary a home visit may be required
All dogs adopted through K9 Advocacy MUST be spayed/neutered between 6 and 9 months of age. If the alteration doesn't take place by 9 months of age, the rescue retains the right to repossess the dog. The adoption fee will not be refunded.
Digital Signature (Please type full name here)
Submit
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