Application Form

Dog(s) you want to adopt: *

Where did you hear about D.O.G.? *

Your name: *

Email: *

Phone number: *

Your address

Address (line 1): *

Address (line 2):

City: *

Province/State:

Postal code:

Country: *

1. Why do you want to adopt a dog? *

2. Please list any preferences (age, sex, personality):

3. Are you willing to take the time to housebreak a dog, and do you understand that changing a dog's environment may cause the dog to have accidents? *

yesno

4. Does any member of the family have any allergies to animals? *

yesno

5. For whom are you adopting the dog? *

myselfgiftother family member

6. How many people live in your home? *

7. Are there any children in the household? *

yesno

8. Who will be responsible for feeding and taking the dog outside? *

9. Who will take care of the dog in the absence of the primary caretaker? *

10. Do you own any other pets? *

yesno

11. What kind of veterinary care do you plan to provide? *

12. Have you considered the extra expenses that will come with having a dog including vet care, food, supplies and equipment, toys, training, and boarding? *

yesno

13. What type of home do you live in? *

village housetownhouseapartment

14. Do you own or rent your residence? *

ownrent

15. Do you have a fenced yard? *

yesno

16. Describe the circumstances in which you would walk/exercise your dog: *

17. How many hours will the dog be left unattended on a workday? *

18. When you are home, where will the dog be kept? *

19. Where will the dog sleep at night? *

20. When no one is home (i.e. at work, shopping), where will the dog stay (be specific)? *

21. How often do you travel? *

22. What will you do with the dog when you travel? *

23. If you move, what will you do with the dog? *

24. Have all adult family members agreed upon the dog? *

yesno

Please check the information below. If everything looks correct, press Send.

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