Adopt

Adoption Application

Names of the dog(s) you are interested in:

(some dogs may have adoptions pending so please list all dogs that interest you)

Your full name:

Age

Partners full name (if applicable):

Age

Home Phone

Work/Cell Phone

Full Street Address (incl. postal code)

Email Address

name@email.com

Current Occupation

Other members living in the household

Please list name, age and gender

Are ALL household members aware, and accepting, of you adopting a dog?

Yes No I live alone

Other animals in the household: { Name / Breed or Species / Gender / Age / Fixed Y,N,NA }

Do any people in your household have pet allergies? (If yes, please list whom and allergy):

HOME INFORMATION

What are your daily activities and hobbies? (Tell us a little bit about yourself)

Are you located in the city, suburbs or a rural area?

Do you live in a house, apartment or condominium?

Do you rent or own?

If you rent, does your landlord allow dogs?

Yes No Not sure yet I am the owner

If YES, how many dogs and what size limit, if any?

Landlord Contact Information (if applicable)

Name - Address / Phone / Number

How long have you lived in your current residence:

Do you have any plans to move in the next year?

Yes No

Are there any city ordinances/by-laws limiting the number of pets (dogs) in one household?

Yes No I don't know

If so, what is the limit?

Choose all that the dog would have frequent encounters with:

Children Joggers Cyclists Other dogs Cats Dog parks Wildlife Utlity/Delivery workers

Do you have fenced yard?

Yes No I plan on building one in the near future

If YES:

Fence Height

**at lowest point

Fence material

**Wood/metal/plastic

Size of yard

**Approximately

If you do not have a fenced yard, how do you plan to keep this dog on your property when it is outside?

Fenced run/kennel Invisible fence Shock collar Leash Run line/chain

When you are home, the dog will primarily be:

In the home In the yard/in a pen In a crate or kennel

When you are away from the home/at work, where will the dog be?

In the house (free roaming) In a crate or secluded Outdoor kennel or doghouse

Who will be the primary caretaker?

The dog will typically be home alone for:

1-2 hrs 2-4 hrs 4-6 hrs 6-8 hrs 8+ hrs

What is your opinion on crates and crate training?

How will you meet the dogs exercise requirements? (please specify type, duration and frequency)

Any other activities for the dog? (eg: flyball, agility, etc)

Care plan for the dog if away for extended periods (eg: vacation, work trip, etc)

What is your expectation for adjustment of your new dog?

GENERAL KNOWLEDGE

How familiar are you with heartworm and how it is contracted?

How is heartworm prevented?

How often should you check for parasites?

How often do you vaccinate?

What brand of food do you use, or plan to use?

What are your current vet care costs per year or anticipated costs with new dog?

What's your current or anticipated yearly food costs?

What made you choose this (these) particular dog(s):

Why do you wish to adopt this dog? (Select all that apply)

Companion Working Gift Protection Other**

**If "Other", please explain

What qualities are you looking for in a dog? (temperament, activity level, size, gender, etc)

How long have you been involved with dogs?

Special training/experience you wish to mention

List dogs you’ve owned in the past 10 years: (Name, breed, to what age, what happened to the dog?)

How familiar are you with the breed/mix of the dog(s) you chose?

Veterinarian:

Phone Number:

Address: (street/city/province/postal code)

Personal Reference #1:

Phone Number:

Address: (street/city/province/postal code)

Relationship to you:

Personal Reference #2:

Phone Number:

Address: (street/city/province/postal code)

Relationship to you:

What reasons would prompt you to potentially give this dog back to Catahoula Rescue Ontario?

PLEASE READ CAREFULLY AND CHECK ALL THAT APPLY

LET'S WRAP IT UP!

How did you hear about Catahoula Rescue Ontario?

Have you ever applied to Catahoula rescue Ontario before?

Yes No

As a non-profit organization, run solely by volunteers, would you be willing to volunteer to help Catahoula Rescue Ontario?

Yes No In the future

Any additional comments, questions, or remarks?

Confirmation

By completing and submitting this form, I certify that the information I have provided is complete and accurate. It also gives permission, to Catahoula Rescue Ontario, to contact my landlord (if applicable), my personal references and my current and/or previous veterinarian(s).

Do you agree with the above confirmation:

YES NO

**Please understand that this form is done to try to best match a dog to your home in a way that will ensure a rescued dog will finally find its forever home. Understand that you are committing to this dog for the rest of its life span, and this application helps ensure that it’ll be a dog that you will thoroughly enjoy!

Disclaimer

We reserve the right, in our sole discretion, to refuse any application for any reason whatsoever.

Catahoula Rescue Ontario is under NO obligation to adopt an animal to any individual.

Many factors go into determining which applicant will be matched with a particular animal. If you are not chosen for this pet, it does not mean that you are not considered a good pet owner or that your home is not acceptable. Our primary goal is to place this animal in the home that will best suit its needs.

Our adoption process is the same for everyone. Everything we do is in the best interest of the animals in our care. Our goal is to give them the best possible chance of finding a permanent, safe and loving home.

Our adoption policies are based on our experience and the experience of many other rescues

I have read, and understand, the above disclaimer:

YES NO

We thank you for your interest in adopting a rescue dog!

“Saving one dog won't change the world...
but it surely will change the world for that one dog."