On Line Adoption Application

Name:
Email:
Address:
City:
Province:
Postal Code:
Phone No.:

Dog Adoption Application

(For multiple choice fields click on the appropriate response box to select)

 1. What Dog are you interested in? (Enter ID No. if known) (1) (2) 

    or are you just looking for now? 

 2. Why do you want a dog?   Companion   Hunting dog    Agility /fly ball  

      Farm/working dog     Guard dog   

 3. Is this dog for you?   Yes     No    If no, who is s/he for?   

 4.  What size of dog are you looking for?  Small   Medium Large   Giant  

 5.  What breeds are you most interested in? 

 6.  Are you prepared to care for this dog for the rest of her/his life (15-20 yrs)? Yes   No  

 7.  Do you own or rent your home?  Own    Rent or are you boarding? Yes   No  

 8.  If you are currently renting/boarding,

     Landlord’s name?         Phone number?

 9.  Please indicate the number of household members:  Adults    Children

     What are the ages of the children?

      Are all household members aware of this adoption? Yes   No   If no, please explain:

      Does anyone in your home suffer from allergies? Yes    No

10.  Have you ever owned a dog? Yes   No

11. How many animals have you had in the last 5 years?  Cats   Dogs   Other  

      If they are no longer with you, where are they now? 

12.  Please complete the following information about any animals you have now:  

13.  If your animal is not altered (spayed/neutered), why not?

14. Where does your dog reside in the day? Indoors only   Outdoors only   In & out

      Where does your dog reside at night?   Indoors only    Outdoors only   In & out

      If outside, is the dog contained?      Yes :       Kennel    Rope/Chain     Fenced yard 

      No

15. Where will he/she spend most of his/her time?

16.  Name of veterinary clinic : Phone number?

17.  Where will he/she be kept when you’re not at home?

18.  Do you agree to have this dog neutered/spayed?  Yes   No

       If no, why not?          

19.   What traits would you find unacceptable?  Not housebroken   Digging Chewing  

          Barking     Shedding   Not good with children   Jumping on people   

          Scratching at furniture      Chasing cars/bicycles/animals   Escaping/running away

20.  Who will be responsible for training this dog?

        Will you update an SPCA trainer about any problems or concerns you may have? Yes No

        Are you willing to meet with an SPCA trainer? Yes   No

        If no, why not?

  Thank You for your patience and honesty in answering the above questions.