AROO Adoption Application

Is there an AROO dog you are currently interested in?

Full Name*

First NameLast Name

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number - Home

Area CodePhone Number

Phone Number - Cellular

Area CodePhone Number

Phone Number - Work

Area CodePhone Number

You live in a:*

Do you:*

OwnRentLive with ParentsOther

If Renting: Please indicate landlord contact information

Household Setting

RuralSuburbanUrban

Occupation of primary application:

Describe your Home's Activity Level

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests

For what reason would you consider re-homing a dog?

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)*

Does Anyone in your Household have Allergies to Animals?*

YesNo

Are all members of your Family agreeable to adopting a dog?*

YesNo

Please list any CURRENT Pets in your home. Include Name, Breed, Age, Altered, Sex, UTD Vaccines, Heartworm)

Please list any deceased or re-homed pets.

AROO needs to do a vet reference to proceed with application. Are you willing to have an AROO Team Member call your veterinarian for a reference check? (Please authorize vet to speak with us)*

YesNo

Veterinarian Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Reference 1

First NameLast Name

Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Reference 2

First NameLast Name

Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Do you have a preference in sex of dog?*

MaleFemaleNo Preference

What is the age range you would consider?

Are you willing to use a crate for a dog if recommended?*

YesNo

If no what is your plan for keeping dog safe when unsupervised?

Do you have a fenced yard?*

YesNoPartial

If fenced, please give details on height, material, # of gates, are gates locked or lockable?

How many hours in a day would the dog be left alone?*

What are your plans to exercise your dog? Please list any parks nearby or trails, how many walks a day, approximate length, activities such as agility.*

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any AROO~Australian Shepherd Rescue of Ontario animal.

I certify that the above information is correct, and I understand that the information will be verified.

I understand that by submitting this form electronically, I agree to release and covenant to hold harmless AROO~Australian Shepherd Rescue of Ontario and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the adopted dog.

I accept full responsibility for the dog(s) actions at all times, and release AROO~Australian Shepherd Rescue of Ontario from any liabilities or damages that may be incurred because of dog(s).

I agree to have AROO~Australian Shepherd Rescue of Ontario complete reference call checks and conduct a home visit inspection to be able to approve my adoption application.

I agree that if I'm unable to keep the dog(s) anymore that I will return the dog(s) to AROO~Australian Shepherd Rescue of Ontario.

Date*

MonthDayYearHourMinutesAM/PM Option

Your name*

Co-Applicant name (if applicable)

You can also upload your completed adoption application which is posted on our website at www.aroo.ca

Upload a File

:HourMinutesAM/PM Option

AROO~Australian Shepherd Rescue of Ontario~Adoption Application

Veterinarian References

References

More info