Animal name *

KAAP number *

Applicant name *

Email Address *

Address 1 *

Address 2

City *

Province *British ColumbiaAlbertaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Postal Code *

Home / Cell Phone Number *

Other Phone Number

How did you hear of our animals? *

Have you ever relinquished an animal before? *
NoYes

If yes, please explain

Describe household members (number of people, age of children etc) *

Do you live in a house, apartment or attached dwelling? *
HouseApartmentAttached Dwelling

Do you rent or own? *
RentOwn

Do you have permission from your landlord to adopt a dog?
NoYesNot Applicable

Landlord name and phone number (if applicable)

Do you have a FULLY 100% with gate secure fenced yard? *
NoYes

If no, how will you let your dog out to safely relieve itself?

Have you ever been investigated for concerns regarding suspected animal abuse or neglect? *
NoYes

If yes, please explain and provide information regarding the outcome of the investigation.

Describe the other animals that live in your home. (breed, age, spayed/neutered etc.) *

How do your animals interact with one another?

How do your animals interact with visitors or new pets?

Describe any animals you have had in the past. (What happened to them? How long did you have them?) *

What do you consider acceptable reasons to give up a pet? *

Does anyone in your household have allergies to animals? *
NoYes

Describe the activity level of the people who want to adopt this dog. *

Under what circumstances do you think it would be necessary to physically discipline your dog? *

Do you plan on taking this dog to any training classes? *
NoYes

Have you any experience doing obedience training (with a professional trainer)? *
NoYes

Are you willing to put extra effort into issues such as housebreaking, obediene and the correction of disruptive behaviours? *
NoYes

Will this dog have full access to the house when family members are home? If not, explain: *

Will this dog remain inside or outside when left home alone? *

If left inside, where will he/she be kept?

Will he/she have access to the outside? *
NoYes

How many hours per day will this dog be left home alone? *

Where will your dog sleep? *

Where will your dog stay when you are on vacation? *

Who will be the main caretaker of this dog? *

If you move in the future, what will you do with your pet(s)? *

Why do you want this dog? *

How much thought have you put into adopting a dog? *

What do you like about the dog you are interested in adopting? *

What characteristics do you least like in a dog? *

What are some of the things you most enjoy in having a dog? *

How will the dog’s exercise needs be met? *

If your dog were to go missing , what would you do to get him/her back? *

Will you have annual veterinary check-ups for your dog? *
NoYes

Will your dog wear any identification? *
NoYes

If yes, what type of ID would he/she have?

How much money are you prepared to pay per month on your dog? *

How would you manage to cover the cost of a serious illness or accident? *

Are you prepared to work on possible problems? *
NoYes

Veterinarian’s Name (note: we may contact your veterinarian as a reference): *

Vet Clinic *

Vet Address

Vet Phone

References: Please provide complete names of at least three references with phone numbers and relationships to you.
Please do not use family members as references. Ideal references are friends, neighbours, employers, teachers, obedience trainers, pet groomer etc.*

Reference 2 *

Reference 3 *

Reference 4

Do you understand and agree that after adoption, you will be personally required to provide, at your own expense, future vaccinations, de-worming, flea treatments and any other medical treatment as necessary for the life and health of this cat. *
Yes I understand and agree

PLEASE NOTE:
Once you click ‘submit application’ your application will be sent to us.