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 Date Format: MM slash DD slash YYYY Dog NameLitter NameGender 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 adoptingPet & CompanionPlaymate for ChildHuntingGuard DogWho are you adopting for?YourselfSomeone elseAre you 21 or older?YesNoPlease Give Date of Birth Date Format: MM slash DD slash YYYY Do you live in:HouseApartmentAcreageCondoMobile HomeDo you own your own home?YesNoDoes your landlord allow dogs?YesNoLandlord’s Name First Last Landlord’s Phone #:If you move, will you take the time to find housing that will allow your pet?YesNoHow many people live in the household?AdultsChildren (please list their ages)Do you have a yard?YesNoSize of yardIs it fenced?FencedNot FencedPartially FencedHeight of fenceDo you feel your fence is secure (inescapable)?YesNoHow will you contain your dog outside?How long will the dog be alone daily?DaytimeNightWhere will the dog be housed during the day?InsideOutsideBothWhere will the dog be housed at night?InsideCrate InsideOutsideLoose OutsideDo you currently have any other pets?YesNoPlease provide ages, sex, species etc. (to ensure compatibility) Are your current dogs spayed/neutered?YesNoPlease explain whyAre your current dogs’ vaccinations up to date?YesNoPlease explain whyHave you had dogs in the past?YesNoWhat became of them?Have you lost a dog to infectious disease in the past 6 months?YesNoPlease provide details.Have you ever surrendered a dog to an animal shelter or city pound?YesNoWhy?Do you plan to take your dog to training classes or consult a trainer?YesNoI don’t knowI train my own dogsFor what reasons would you consider giving up your dog?Will you spay or neuter your new pet?YesNoPlease 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.