Dog Adoption Application - Companion Paws Therapy Dogs

Please complete the below application if you are interested in applying for a dog that has become available.

Dog Adoption Application

First Name *

Last Name *

Email *

Phone *

Street Address *

City *

Province *

Postal Code *

Names, ages, occupation and relationships of all members of household: *

Home size (square footage) *

What is the size of your property? *

Do you live in a rental unit? *

Yes

No

If renting, please upload a letter (pdf format) from your landlord stating that permission to keep a dog on the property is granted.

How long have you lived in your home? *

Do you have a fully fenced yard? *

Yes

No

Please describe size, height and type of fencing. *

If not fully fenced, how will you keep your dog safe while it is outside? *

How would you describe your household? *

Loud

Calm

Busy

Quiet

How much interaction has/have you and your child(ren) had with dogs in the past? *

Does anyone in the home have known allergies to dogs? *

Are you looking for a particular size, sex or age of dog? If so, why? *

Please describe your perfect companion pet (including behaviors i.e. energetic, playful, lap dog, lazy, etc.) *

What does adopting a rescue dog mean to you? *

Have you previously ever adopted a dog? *

Yes

No

Do you currently have any pets? *

Yes

No

Number, Type and Description of any other pets in the house *

Write N/A if not applicable

Are these pets spayed or neutered? *

Yes

No

Are these pets up to date on vaccines? *

Yes

No

Have you previously owned any pets in the last 10 years (other than any you may have now), and what became of those pets? *

Where do current pets/did previous pets spend most of their time? *

What are you currently feeding your dogs (type of food and brand)? *

Are you capable of caring for a companion animal? (Exercising, walking, feeding, playing, grooming, and training) *

What is the work schedule of the family members, and how long would a dog be in your home alone? *

How and how long do you plan to exercise a dog both on-leash and off-leash? *

Describe your current daily activities. *

Where will the dog spend the day? *

Where will the dog spend the night? *

Number of hours (average) dog will spend alone? *

What are your thoughts on crate training? *

If 'other', please specify.

If you were to move in the future, what would happen to your dog? *

Have you ever surrendered a pet? *

Yes

No

If yes, please tell us why.

Explain how you will be able to manage the training of the dog in accordance to your current work / leisure schedule *

Do you intend to take the dog for regular medical checkups and keep vaccinations up to date? *

Yes

No

Are you able to fund the $800 dog adoption cost? *

Yes

No

Are you willing and able to pay for any future medical needs of your pet which can average $1,200/year? *

Yes

No

Name and contact information of your Veterinarian/Clinic you will be using *

Do you agree to provide regular health care by a licensed Veterinarian? *

Yes

No

Do you agree to keep the dog as an indoor pet? *

Yes

No

Have you talked to all of the people in your household about adding a dog to the household, and do they agree? *

When traveling/away from home, what arrangements will you make for the care of your dog? *

Are you prepared to make the 10-15 year commitment a dog requires? *

Yes

No

Are you willing to let a representative of Companion Paws to have a home visit by appointment? During Covid times, it will be performed online through Zoom. *

Yes

No

Any additional information you would like to add?

Reference #1 (Name, phone number and relationship) No more than one relative or family member *

Reference #2 (Name, phone number and relationship) No more than one relative or family member *

Reference #3 (Name, phone number and relationship) No more than one relative or family member

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