Adoption Application Form
Please complete if you are interested in applying to adopt one of our released dogs.
Ontario Residents Only.
Date
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Month
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Day
Year
Date Picker Icon
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
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Home Phone Number
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Area Code
Phone Number
Cell Phone
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Area Code
Phone Number
Work Phone
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Area Code
Phone Number
Are you interested in adopting a dog to help support you or someone in your household as a companion? *Note: companion dogs do not have public access.
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Yes
No
If you answered yes to the above question, please describe how the dog will help your family member as a companion.
If you are requesting a dog to support a family member with a special need, please list a diagnosis or identify the reason you feel a companion dog would be helpful to this individual.
Have you or your family had any experience with crate training a puppy/dog?
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Yes
No
Have you or your family had any experience with obedience training a puppy/dog?
Yes
No
Have you or your family had any experience with raising and or resculng an older puppy/dog?
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Yes
No
Do you currently own a dog, or have you owned a dog in the past 5 years?
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Yes
No
If No, have you had a dog in the past? Please describe when.
Please list the dogs you own or have owned in the past. Include breed, activity level, gender (spayed or neutered):
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Do you currently have any dogs or pets in the home?
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Yes
No
If you do not have any dog(s) in the home please explain why or explain what happened to the dog(s)
Does anyone in your home have allergies to dogs/cats?
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Yes
No
Are there any special considerations you have in adopting a dog?
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How many people currently live in your household?
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How many adults and how many children? What are the age groups of the children?
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Are dogs permitted where you live?
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Yes
No
Do you own or rent your home?
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Own
Rent
Please describe your home (check appropriate boxes)
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Detached
Semi Detached
Townhouse
Apartment
Check type of yard you have
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No yard
Small yard
Large yard
Acerage
Is the yard:
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Fully fenced
Partially fenced
Open
Invisable fence
How many hours would the dog be left unattended during the day?
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Is there someone able to relieve and exercise the puppy through the day?
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Yes
No
Possibly
Where will the dog stay when you are not home?
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Crate
Will have run of house
Outside
In a dog run outside
In a room in the house
In the basement
In the garage
Other
Do you have any dog training experience?
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Yes
No
If yes, please describe your experience
Describe the type of dog you would like to adopt:
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Where will the dog stay when you are home?
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Describe the type of activity level you are looking for in a dog?
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List some of the things you would like to do with your dog:
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Do you have a preference in the breed or gender of the dog? If so please explain.
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Are you prepared to accept the responsibilities associated with adopting a dog that has special needs or health issues?
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Yes
No
Maybe, depending on condition
I understand that being a responsible dog owner maeans making the commitment to caring for the dog for the rest of its life, and that the dog can live to approximately 15 years of age.
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Yes
No
How did you hear about ADS?
References.
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