Dog application Dog application ADOPTION FEES: Puppies - Not Spayed or Neutered: $200.00. (includes vet health check, and first Parvo Vaccine & Deworming) Adult - Spayed or Neutered: Exactly the cost of their spay/neuter. ($400 to $500) Older or medically challenged dogs: $100.00Date MM slash DD slash YYYY Dog Name Litter Name Gender Preference Male Female Size Preference Small Medium Large Adopters Name First Last Address Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Home PhoneCell PhoneEmail Reason for adopting Pet & Companion Playmate for Child Hunting Guard Dog Who are you adopting for? Yourself Someone else Are you 21 or older? Yes No Please Give Date of Birth MM slash DD slash YYYY Do you live in: House Apartment Acreage Condo Mobile Home Do you own your own home? Yes No Does your landlord allow dogs? Yes No Landlord’s Name First Last Landlord’s Phone #:If you move, will you take the time to find housing that will allow your pet? Yes No How many people live in the household?Adults Children (please list their ages) Do you have a yard? Yes No Size of yard Is it fenced? Fenced Not Fenced Partially Fenced Height of fence Do you feel your fence is secure (inescapable)? Yes No How will you contain your dog outside? How long will the dog be alone daily?Daytime Night Where will the dog be housed during the day? Inside Outside Both Where will the dog be housed at night? Inside Crate Inside Outside Loose Outside Do you currently have any other pets? Yes No Please provide ages, sex, species etc. (to ensure compatibility) Are your current dogs spayed/neutered? Yes No Please explain whyAre your current dogs’ vaccinations up to date? Yes No Please explain whyHave you had dogs in the past? Yes No What became of them?Have you lost a dog to infectious disease in the past 6 months? Yes No Please provide details.Have you ever surrendered a dog to an animal shelter or city pound? Yes No Why?Do you plan to take your dog to training classes or consult a trainer? Yes No I don’t know I train my own dogs For what reasons would you consider giving up your dog?Will you spay or neuter your new pet? Yes No Please explain why.How often will you take your dog to see a veterinarian? How much do you expect to spend per year on your dog? $100 - $300 $300 - $500 $500 - $1000 $1000+ Reference No. 1 Name First Last You are not allowed to use family members or your partner. Your references should be friends, neighbours or co-workers - who have seen you with animals before.Reference No. 1 PhoneReference No. 2 Name First Last Reference No. 2 PhoneCAPTCHAYARN will not release the reason for refusal, if you are not approved.