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 Name Last Name
Address *

Street Address

Street Address Line 2

City Province

Postal Code
Home Phone: *

Area Code Phone Number
Cell Phone: *

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

Yes No Don't Know
Have all members of your household been introduced to the dog? *

Yes No
Does anyone in your home have allergies to dogs or have asthma? *

Yes No
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? *

Yes No
How often do they visit?

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

Very Busy A little Some what No at all
How active is your family? *

Very Active A little No at all
How regular is your schedule? *

Very regular Very irregular Moderate
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? *

Moving Vacation Change in schedule
Your Home
What type of home do you live in? (Check all that apply) *

House Apartment Condo Trailer Inner City Suburban Acreage Rural
Do you own or rent? *

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

Yes No
Are there any restrictions from your landlord or subdivision?

Number of pets Size or weight restrictions Breed restrictions None
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 yard Fenced Not fenced Partially fenced Wood Chain Link
Height and type of fence *
Do you have any of the following?

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

Yes No
If yes, how many and how old are they?
Do you have other pets? *

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

Yes No
If yes, what group?
Have you ever surrendered a pet to a humane society or rescue? *

Yes No
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? *

Yes No Only as a child
Have you ever house-broken a dog or puppy before? *

Yes No
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 house Tied outside Outdoor Run Loose outside Garage Crate/Kennel Indoors Indoor Run With you
Where will your dog stay during the night? (Check all that apply) *

Loose in the house Tied outside Outdoor Run Loose outside Garage Crate/Kennel Indoors Indoor Run With you (bedroom)
Where will your dog stay when your family goes on vacation? *

At home with care Boarding With family/friends
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 walks Off leash walks Swimming Jogging Cycling Hiking Agility Flyball Obedience Trails Pet Therapy Search and Rescue Tracking Herding Dock Dogs Hunting/Retrieving
How much do you expect to spend monthly?
Food expenses *
Veterinarian expenses *
Grooming expenses *
Boarding expenses *
Desired Physical Characteristics
Gender

Male Female Either
Coat

Short Medium Long Hypoallergenic* 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: *

	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 *

	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? *

Yes No Need 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? *

Yes No Not sure
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for? *

Yes No
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 Name Last Name
Relationship *
Address *

Street Address

Street Address Line 2

City Province

Postal Code
Phone Number *

Area Code Phone Number
Email
example@example.com
Reference Name *

First Name Last Name
Relationship *
Address *

Street Address

Street Address Line 2

City Province

Postal Code
Phone Number *

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

PetSmart Pet Valu The Body Shop Facebook Petfinder.com CARS website Friend/Family Member Other
Signature *

Clear
Should be Empty:

Dog Adoption Application

Applicant Information

Your Family and Lifestyle

Your Home

Current/Previous Pets

New Pet Information