If you are interested in possibly adopting one of our rescues, please fill out the form COMPLETELY.  Incomplete applications will not be processed.  More info is better than too little; this helps us to match you up with the right dog. 
Applications submitted for dogs not currently on our pet list will be held for three months. If within that time, a dog becomes available that might match the request, the application will then be processed.  For these applicants, please continue to check out dog list, and let us know if one particularity interests you.

PLEASE complete every applicable field on the form.  Note that some of the fields have a list of choices that will drop down if you click on the small arrow to the right of the selection that is showing.  Drop the list down and then click on your desired choice.  Then click in the next field to enter your next answer.

Please list names of at least 2 dogs that interest you:

Part I: Your information

 
Full Address (including Postal Code):

Men Ages Ages

Occupation of adults in household:

Number of children in household (if none, enter nil):

Boys Ages Girls Ages

Would you be agreeable to a Home Visit? Please Select Yes No

Please explain the type of allergies:

Are you expecting a child, or planning a family in the future? Please Select Yes No

Please explain:

Do you own or rent your home? Please Select own rent

What type of Dwelling: Apartment/Apartment-Style Condominium Townhouse Duplex/Triplex mobile home House Farm Other

If you are not the Homeowner, please provide the name and phone number of the Landlord or Homeowner

How large is your yard, describe your fencing (height/material, age)

Can children open the gates? Please Select N/A Yes No

If the yard is not securely fenced, Are you willing to make such improvements? Please Select Yes No N/A

Do you have a pool? Please Select Yes No If yes, is it securely fenced? Please Select Yes No N/A

Are you aware of any dangers that could harm your dog, inside the yard?

Where will the dog sleep?

Where will your dog stay when alone? and how long will it be alone?

Do you plan to use a Crate? Why or why not?

Have you ever owned a rescue dog before? Please Select Yes No

How long?

What happened to him/her?

Where did you get the dog?

Please list all your current pets - name, breed, sex, age and how long you had had them:

Where did you get your pets?

Please list all your previous pets, and what happened to them. Please include name, type of pet and how long it was owned.

Have you had any problems with your present or past pets?

Why do you want a rescue dog, as opposed to another pet?

If you have other dogs, would you consider them aggressive or submissive to other people?                   Please Select Aggressive Submissive Multiple dogs - different personalities

To other animals? Please Select Aggressive Submissive Multiple Dogs - Different personalities

If you have birds, rabbits, cats, rodents etc., are you prepared to spend the necessary time to accustom them and the dog to each other? Please Select Yes No N/A

What amount of time and effort do you want to devote to training your rescue dog?  Who would do the training?

Are you likely to enroll your dog in obedience class? Please Select Yes No

What are your training objectives?

What is your definition of disciplining a dog?

What would you do if your rescue dog bit you or a member of your family?

What would you do if your rescue dog has separation anxiety?

What makes you a good pet owner?

Would you be interested in Fostering a Dog if your preference is not available?
Please Select Yes No

If you are looking for a specific type, breed, mix or colour, please list it here

Desired weight of Adult Dog - Please Select Under 10lbs 10-20lbs No preference Age Range

Male/Female Please Select Male Female Either

Primary Reason you want a dog Please Select Companion for self Companion for Children Playmate for other pet All around Family Pet

Are you willing to housetrain a dog? Please Select Yes No

HOW and how frequently do you plan to exercise your dog?

How important is it that your dog likes car rides? Please Select Very Important Important - but not necessary Not important at all

How Important is the level of barking that a Rescue Dog displays?

How would you describe your household? (i.e Busy - lots of people coming and going, Active - lots of noise/activity inside and out, Quiet - low activity, more restful environment)

Generally speaking, what sort of temperament are you looking for in a dog? I.e., playful, quiet…

Will you be making a donation over and above your adoption fee? If so what will your donation be?

Do you realize that dogs can live to be 15 years of age or older, and are you committed to providing responsible care for that long? Please Select Yes No

Are you agreeable to returning the dog should, due to unforeseen circumstances, you would no longer be able to keep the dog? Please Select Yes No

Is there anything else that you want to tell us about your family and its suitability to adopt a rescued dog?

How did you find out about us?

Your comments / suggestions:

Vet Reference:
Name of Veterinary Clinic
Veterinarian
Address
City
Prov.  Postal Code 

Hours of Operation
Phone

Please inform the Personal References that we will be calling.  We will only attempt to contact them twice. If they do not return our phone call promptly or do not have an answering machine available, your application will not be able to be processed. We will notify you if this occurs.

Reference #1:
Name
Relationship to Applicant
Address
City
Prov.   Postal Code 

Day Phone
Eve Phone

Reference #2
Name
Relationship to Applicant
Address
City
Prov.   Postal Code 

Day Phone
Eve Phone