Alberta Lost Pet Locator and Rescue Society Dog adoption Form .

Dog Adoption Application
Alberta Lost Pet Locator and Rescue Society

Dog Adoption Application
Name of the dog you want to adopt *
Adopter's Name *
First & Last Name
Co-Adopter's Name
First & Last Name

Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

Adopter's E-mail *
Co-Adopter's E-mail *
Phone Number *

Area Code Phone Number
Phone Type *

Cell Home Work
Names and ages of all permanent residents of your home (adults/children) *
Current pets in your home
Vet reference (please call your vet and give permission to release information to us) *
Vet name, address & phone number
Are you planning to move in the near future? *

Yes No
If moving soon, to what city/state?
When will you be ready to adopt this dog? *

Today This weekend Within a week Within a month Not ready yet, just researching
Are you in contact with any other rescues or shelters about a specific dog? *

Yes, application is pending Yes, just an email inquiry, no app yet No, but I am looking at several dogs online No, I am only interested in this particular dog
Are you going to meet another dog? *

Yes No
If so, when?
Is anyone in your home allergic to dogs? *

Yes No
Does anyone in your home fear dogs? *

Yes No
Does anyone in your home smoke? *

Yes No
Are you familiar with dog regulations in your area? *

Yes No
If you answered no to the question above, please contact your town/county/condo assoc and ask them what the regulations are.
If yes, please describe local dog regulations and restrictions:
I/We live in a *

Single Family Home Duplex/Twin Condo/Townhome Trailer Apartment
Do you rent or own this property? *

Rent Own
If you rent, you must show us a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have dogs and showing any limitations.

If you live in a condo or townhome, you must show us written proof that you are allowed to have a dog there and show any restrictions.
Approximate square footage of your home *

Less than 800 square feet 800-1,000 square feet 1,000-1,500 square feet 1,500-2,000 square feet Over 2,000 square feet
Do you have a yard? *

Yard, fenced with a vertical fence Yard, fenced with invisible fencing Yard, no fence No yard (apartment/condo/townhome)
If fenced, fence height is:

2' high 3' high 4' high 5' high 6' high
Approximate dimensions of your lot: *
Annual Household Income *

Under $20,000 $20,000-$30,000 $30,000-$50,000 $50,000-$70,000 $70,001 or higher
Do you work outside the home? *

Yes No One applicant is home/works from home
If you both work outside the home, how many hours per day are you away?
How many hours per day will this dog be alone? Explain *
Have you discussed this adoption with all members of your household? *

Yes No Yes, adults have discussed. Kids don't know yet.
We will be speaking to all household residents to confirm everyone is aware of this application process and wants to have a dog added to the family. Please do not submit this application if you are "trying to talk someone into" adopting this dog or think "once they meet the dog, they will want one" or "I'm getting this dog as a birthday present for them." In those scenarios, you are welcome to email us to discuss the dog, but we would like all adults in the home to be involved in that email discussion.
Based on the descritpion in the dog's bio, do you feel pretty confident that you will be likely to adopt this dog upon meeting it? *

Yes No Not sure
Upon meeting the dog, what would give you cause to not want to adopt it? Please explain. *
Fantasy question: What would your dream dog be like? (If this dog is not a fit, we may be able to recommend another based on what you say here.) *
How much do you feel you can reasonably afford and would be willing to spend on your dog per year (for things like veterinary care, licensing, ID tag, food, toys, crate, other supplies, training, pet sitting, etc)? *
What activity level do you prefer?

Wild and crazy is cool Leash trained daily jogging partner would be excellent Medium energy, plays a bit then hangs out with you Low energy, walks slowly on leash, a total couch potato
Please check all that apply. I want to adopt this dog... *

As a family pet To breed with my dog To train/use for hunting To train/use for agility To train/use as a therapy dog To train/use as an assistance dog for the disabled To use as a guard dog For a jogging/hiking partner To interact with lots of friends/family As a gift for a friend As a companion for my dog(s) As a companion for my cat(s) As a companion for my child/children
Please check all that apply. My adopted dog will...

Be kept outside most of the time Be kept indoors most of the time Be left outside during the work day while we are away Be kept inside while we are away Be crated when we are not home Have free reign of the house when we are not home Be taken to formal obedience classes Be trained by me/us Take frequent car rides with us Be kept on a lead line/cable in the yard Be mostly interacting with adults Be interacting frequently with children under 8 Be interacting frequently with older children Must be housebroken prior to adoption Will be housetrained by us We be walked more than one mile per day every day Will be walked occasionally Be attending formal group obedience classes with us Be trained by us without the advice of a trainer Have private sessions with a trainer as needed Be attending agility classes Be taking frequent car rides/trips with us Be boarded when we go on vacation Stay with family when we go on vacation Be given away to someone else if we feel it's not a good match for us Be turned in to a shelter if we can't keep it Be going camping with us Be going on boat trips with us
Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with at the time of adoption or at any time during the life of the dog? *

Housebreaking Chewing Jumping Pulling on leash during walks Counter surfing Obedience training Fear of men Fear of women Fear of children Mouthiness (may sometimes snag your hand or arm instead of the toy in play and will need redirection/training) Growling Barking Rough play with my dog High activity level Food/toy aggression/not willing to share with other dogs Food/toy aggression with people Whining/crying Counter surfing Blindness Limited Sight Deafness Separation Anxiety Diabetes Special Diet Long Term Medication Incontinence / Leaking Urine Taking classes with the dog Gets stressed/carsick when riding in vehicle Doesn't know how to climb stairs Can't climb stairs due to age/arthritis/health issues Heart condition Skin allergies Food allergies Trimming nails Yeast on coat or in ears Ear mites Fleas Ticks Heartworm preventative Annual heartworm/lyme combo testing I will do whatever it takes to help this dog adjust and work with a trainer to help resolve any training needs.
What would cause you to return a dog? *
What do you feel is a reasonable amount of time for a dog to adjust to life with you/your family? *
How do you plan to integrate this dog into your family? *
What would you do if you discovered after adoption (at any time during the life of the dog) if your vet diagnosed an expensive health condition? *
Do you plan to get pet health insurance? *

Yes No I wasn't aware this was available. I will look into it.
What brand of dog food do you plan to feed? *
Grooming (please check all that apply) *

We use a professional groomer We trim dog nails ourselves at home We bathe our dogs at home once a week We bathe our dogs at home once a month We bathe our dogs at home once every few months or whenever their coat feels dirty We bathe our dog twice a year We don't bathe our dog We check ears weekly for infection/yeast/mites We check coat daily for ticks in spring/summer/fall We clean teeth using home methods We take our dogs to the vet for dentals whenever the vet recommends this is needed Prefer a dog that doesn't shed Don't care about shedding
How long have you been looking for a dog? *
Do you plan to take formal obedience classes? *

Yes No
Additional reference (if desired)
Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a dog? *
Please read the above, check this box, sign, and click Submit.

I/We have read and understand all of the above.
Applicant's Signature *
Co-Applicant's Signature
Signature date *
We will be in touch with you shortly

If you have any further questions please email

albertalostpetlocator9@gmail.com
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Dog Adoption Application