C 4P ause aws

toronto

Email: c4ptoronto@gmail.com
Website: www.c4ptoronto.com
Facebook Page: www.facebook.com/cause4pawstoronto
List of Dogs: www.adoptapet.com/adoption_rescue/87428

DOG ADOPTION APPLICATION

APPLICANT INFORMATION
Name:      

Address:      

City:       Province:       Postal Code:      

Age:       Email:       Employer:      

Home Tel#:       Cell Tel#:       Work Tel#:      

SPOUSE INFORMATION (IF APPLICABLE)

Name:      

Age:       Employer:       Work Tel#:      

GENERAL HOME AND FAMILY INFORMATION

1. Are there children living in your home? If yes, list names & ages of all children:
     
2. Are there others living in the home? If yes, list age & relationship:
     
3. Does anyone in your home have asthma or If yes, please advise details:
allergies to animals?      
4. Are you a student? If yes, advise graduation date:
     
5. Are you expecting a child, or planning a If yes, when:
family      
6. Does your job or your spouse`s job require If yes, how often:
frequent out of town travel?      
7. Are you or your spouse subject to If yes, when and how often:
relocation      
8. Does anyone in your home smoke If yes, inside or outside the house:

9. How would you describe yourself? (Choose Nervous Quiet Calm Loud
all that apply)
10. What is your personal activity level? Low Average High

11. What is your home activity level? (Choose Busy Quiet Calm Loud
all that apply)
12. Do you rent or own your home? If you rent, please advise details:
Landlord Name:      Tel #:      
13. Have you lived at your current address less If yes, please provide address:
than 2 years?       

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 DOG ADOPTION APPLICATION
14. Type of dwelling you live in: High Rise Apt/Condo w/balcony If you have a yard, complete 14A – 14B questions
High Rise Apt/Condo w/out balcony below:
Low Rise      
Multi-Family
Townhouse
House
A. Does fence completely enclose Please advise details (i.e. size of yard, height of fence, type of fence,):
yard?       
B. Does your yard have access Please advise details (i.e. no gate, locked gate):
from the street?       
C. Do you have a pool? Is the pool in ground or above? Does it have a separate fence?

ANIMAL HISTORY
15. Have you ever given up an animal to a If yes, please explain the circumstance:
shelter or found a new home for an animal      
in your care? 
16. Do you currently have pets at this time?  If yes, please complete next section 16a
     
A TYPEBREED Age Sex Vaccinations Heartworm Spayed Indoor or Outdoor Pet
up to date Protective Neutered
           
A.            
           
           
17. Have you owned animals in the past? YES If yes, please complete section 17A
NO
TYPEBREED Age Sex Spayed Explain why you no longer have this pet and the dates of
Neutered ownership
                 
A.                  
                 
                 
PLACEMENT INFORMATION
18. Are you able to commit to providing a home If no, please explain:
for the life of the dog      
19. Are you looking for an indoor or
outdoor pet or both?
20. What type of dog activity level are you Low Medium High
looking for?
21. What would you enjoy doing with Walking Jogging Swimming Off Leash Park Cycling Other (please specify)      
your dog? (Choose all that apply)
22. What role would you like your dog to Companion Obedience Therapy Protection
play in your life? (Choose all that Other (please specify)      
apply)
23. What circumstances might cause you Baby Divorce Moving     Allergies 
to give up a dog? (Choose all that Shedding    Want to travel   Dog is ill    Children lost interest   
apply) Too time consuming Destructive Behavior Problems w/other pets
New household member dislikes dog    House soiling/urine marking                         None   
Other (please specify):      
24. If your dog exhibits behavioral or If no, please explain:
adjustment issues, would you be willing to      
seek the advice of a Cause 4 Paws
representative?

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 DOG ADOPTON APPLICATION
25. Are you willing to pay for obedience or If no, please explain:
behavioral sessions?      
26. What type of dog training have you done
with current or former dogs?
27. Are you willing to bring your pet to a vet for If no, please explain:
yearly exams & vaccinations per your vet’s      
recommendations?
28. Approximately how much do you A. Vet Bills:
think your dog will cost you per year B. Grooming:
Complete A-D. C. Food:
D. Boarding:
29. Are you going to get pet insurance? If no, please explain your plan.
30. What is the name of the dog you would like      
to adopt and why?
31. Where will the animal stay when you are at      
home?
32. Where will the animal stay when you are      
away (ie. workvacation)?
33. How many hours a day will the animal be      
alone?
34. Do you plan to use a crate? Why or why not?
     
35. What kind of solution would you be willing      
to try if housebreaking accidents occur?
36. What type of food will you feed your dog
37. Would you allow a Cause 4 Paws agent into If no, please explain:
your home for a scheduled visit      
REFERENCES (WILL ONLY BE CALLED AFTER APPROVED HOME VISIT)
Personal References (Not related to NAME:       Tel #:      
you) NAME:       Tel #:      
Vet Reference ** VET NAME:       Tel #:      
ADDRESS:      
**NOTE: Please inform your vet Cause 4 Paws will be calling and give permission to release vet information to us.

SIGNATURES
I have answered all the questions truthfully and understand that if any intentionally false statements have been given, this application will be null and
void. I understand that Cause 4 Paws Toronto has the right to approve or deny this application based on its policies. I give permission for Cause 4
Paws Toronto to contact my veterinarian to confirm health/vaccination records. I understand all the risks involved with fostering/adopting an animal
and release Cause 4 Paws Toronto from any liability. I understand that if the animal is harmed due to negligence or an inability to adhere to the
policies outlined in this application, I will be fully responsible for the financial costs resulting from such negligence. I also understand that all dogs
are to be leashed at all times unless Cause 4 Paws Toronto approves otherwise. I give permission for Cause 4 Paws Toronto to periodically visit the
animal in my home. I understand that submitting an application does not guarantee approval. I ALSO KNOW I MUST SURRENDER ANY ANIMAL Cause 4
Paws Toronto PLACES IN MY CARE PRIOR TO ADOPTION BACK TO Cause 4 Paws Toronto UPON REQUEST BY THEIR ASSOCIATES. If I am approved to
adopt an animal from Cause 4 Paws Toronto then I agree to pay the adoption fee.

Note: Please type name to represent your understanding of this form. Signature only required in person at home visit.

Signature of applicant: Print Name: Date:

                 

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