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Adoption Application
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Indicates required field
Name
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First
Last
Phone Number
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Email
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Name of the dog you are applying for:
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Why do you want to adopt this dog? Why do you think they might be a fit?
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Who are you adopting this dog for?
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Who will be responsible for the care of this dog?
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Are you over the age of 18?
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Yes
No
Date of Birth
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Please list all family members or people living in the home with you, including ages for children.
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How often do other children visit your home? (0-17yrs)
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Do you or anyone living in the home suffer from allergies to dogs or have asthma?
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Yes
No
If you answered Yes to the above question, how will these allergies be managed with a dog in the home?
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How busy is your family?
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Very busy
Moderately
Not busy
What type of home do you live in?
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Apartment/ Condo
Townhome/ Duplex
Singe Family
Farm/ Acreage
Do you rent or own your home?
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Own
Rent
If you rent, will you be able to provide, in a timely fashion (72 hours, in most cases), written confirmation from the landlord that this dog is allowed to reside in the dwelling?
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Yes
No
Have you, or any others that reside in the household, ever been convicted of neglect or cruelty to animals?
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Yes
No
Have you ever owned a dog before?
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Yes
No
If yes, do you still have that dog? If not, why?
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Have you ever surrendered a pet before?
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Yes
No
If Yes, please describe. If No, please type N/A.
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Are there other animals living in the home (include all animals)? Please describe (species, breed, gender, age, name)
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If there are other cats, dogs or rabbits in the home, are they spayed or neutered? If No, please describe why.
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How much do you think it costs (per year) to take care of your dog?
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What are the kind of expenses that a person would have when adopting and caring for a dog?
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How long will the dog be alone on weekdays (on average)?
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How long will the dog be alone on weekends (on average)?
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Do you have a fenced yard?
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Yes
No
If your yard is fenced, please describe (height, material, etc.). Do you feel that there is potential for a dog to escape the yard in any way?
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Where could the dog spend its time when you're home? (ie. in the home, fenced yard, crate, garage)
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Where will the dog stay when you're not home? (kennel, garage, small area of house, loose in house, yard?)
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If you are away on vacation, where would the dog stay or how would it be cared for?
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Describe your thoughts on activity for the dog. What kinds of activities or exercise are good for dogs? Are these things that you like/plan to do with your dog?
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How much time can you devote to the exercise of your dog? Describe amount of time, weekdays/weekends, where, how, etc.
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What is the name of the Vet clinic you use? Type N/A if you are not currently using a vet clinic). Please include the phone number and the name of the vet.
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Please tell us about your ideal dog
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Female
Male
No preference
What type of breed are you looking for?
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Age
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puppy
adult
senior
no preference
Size when full grown
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Small - less than 25lbs
Medium - 25 - 50lbs
Large - 50 - 100lbs
X-Large - 100+ lbs
no preference
What about their coat?
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Short- haired
Long - haired
Non - shedding
No preference
What are some of the habits/quirks you are willing to work on with your dog? (Pick all that apply)
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Obedience
Housetraining
Reactivity
Barking
Excitability
Separation Anxiety
Mild to Moderate Anxiety
Fearfulness
I would need more information to decide
I'm not willing to work on any of these with a dog
Why would you return or surrender your dog?
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Moving
New Baby
Too costly/ medical reasons
Behaviour problems
Aggression
I would do everything I could to not have to return my dog
Please provide two character references with contact information for both.
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Can we schedule a home visit in your home?
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Yes
No
If your answer was No, please describe why this wouldn't be possible.
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Is there anything further that you would like to share with us? Is there something that we haven't covered in the application that you feel is important?
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By providing my full name in the field below, I agree that the information that I have provided to Alberta Homeward Hound Rescue Bureau is correct and true, to the best of my knowledge. I have not falsified my responses and I understand that my application can be denied if it is determined that I have not been truthful in this application or if Rescue volunteers determine that it is not in the best interest of the dog to be adopted by me.
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Today's date
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Submit My Application
Home
Fundraising
A Night Of Laughter
Our Dogs
Forever Fosters
Our Alumni
Intakes & Surrenders
Volunteer
Become a Foster Home
Meet Our Team!
Volunteer Application
Contact
Blog
Happy Tails