Name of the dog you are applying for:
*
Name:
*
First Name
Last Name
Name of partner:
If applicable.
First Name
Last Name
Address:
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone:
*
(###)
###
####
Work phone:
(###)
###
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Email:
*
Occupation:
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Partner's occupation:
If applicable.
Have you adopted or fostered a dog from Coastal K9 Rescue Society previously?
Yes
No
Describe household members:
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Include ages, and occupation and phone number (if applicable) of all persons in the residence.
Do children regularly visit your household?
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Yes
No
Occasionally, but not regularly
If there are children residing in the household, or children visit regularly, how will you facilitate a good relationship between them and the dog?
*
Just as the dog should be child-friendly, the children should be dog-friendly as well! What do you consider to be kind, respectful, and appropriate behaviours on behalf of the child towards the dog? What behaviours are not kind, respectful, or appropriate? Please be as detailed as possible.
Is the general atmosphere of your home:
*
Please select a maximum of two that best describe the general atmosphere of your home:
Please describe your household's activity level:
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Are you active, moderately active, or more laid back? Please elaborate! We'd love to hear some of your household's typical activities.
Are any household members allergic to animals?
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Yes
No
If yes, please explain:
What animals are they allergic to? If they are allergic to dogs, please describe their allergy.
Is your home rented or owned?
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Rented
Owned
If you rent, does your landlord permit dogs?
If so, do they have any limitations such as breed or size?
If you rent, please provide your landlord's contact information:
We will be contacting your landlord to verify that dogs are allowed in your rental unit.
How long have you lived at your current address?
*
Select your neighbourhood type:
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Rural
Suburban
Urban
Select your home type:
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House
Apartment or Condo
Duplex
Mobile home
Other
Please describe the fenced area of your yard:
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Please include material size, and height! If your yard is not fenced, describe the measures you will take to keep a dog secure while they are outdoors.
Will you be the primary care taker of the dog?
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Please explain.
In your absence, who will take care of the dog?
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Please provide contact information. We may be calling this person to verify that they will be looking after the dog.
During long vacations, or unexpected or extended periods where you may be required to leave the dog, how will you ensure care?
*
Could your family conceivably be forced to relocate in the future?
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If so, how would the dog factor into the process?
Could your family grow in the future?
*
If so, how would you plan to accommodate a dog that does not do well with small children and/or that requires extensive exercise, time, and attention?
Do you or any members of your household smoke any tobacco or marijuana products inside the home?
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Yes
No
Do you or any members of your household store any vaping or marijuana products inside the home?
*
Yes
No
How experienced are you with handling dogs?
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What do you think are the most important responsibilities in owning a dog?
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Have you ever owned a dog before?
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Yes
No
Only family dogs
If no, please describe any and all other experience handling dogs you may have:
Please provide as much detail as possible and describe how you've educated yourself on dog handling.
If yes, do you currently own a dog(s), did you own a dog(s) in the past, or are both applicable?
I currently own a dog
I owned a dog in the past
I currently own a dog and have owned them in the past
If you currently own a dog(s), please describe them:
Please include name(s), breed(s), size(s), gender(s), and pack hierarchy if applicable. What do you love about them? Any behaviours you're having trouble with?
How does your current dog(s) behave around other dogs?
Please select all that apply:
Are they fully up to date on vaccinations?
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All vaccinations yearly
Limited vaccines
Titers only
No vaccines
I don't currently own a dog
Where, what, and how are they fed?
Describe monthly and annual health care of your dog(s):
If you currently have pets, how will you introduce the dog into your home?
How will you set the dog and your current pets for success? Do you have rooms to separate them if needed?
If you've had a dog(s) in the past, please describe them:
Please include name(s), breed(s), size(s), gender(s), and pack hierarchy if applicable. How long did you have them? What happened to them?
Do you have cats, other pets, or livestock?
If so, please describe number and types of animals. Do they live indoors or outdoors? Are they spayed and/or neutered and up to date on vaccinations?
Why do you want to adopt this particular dog?
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Have you applied to any other animal rescue or humane organization to adopt a pet?
*
If yes, please explain. Do you currently have an application being processed?
Have you ever adopted from any rescue or humane organization in the past?
If yes, please explain which organization and what the circumstances were.
How long will the dog be left alone on an average day?
*
If the dog is left alone for extended periods, how will you fulfil and accommodate their exercise, social, and potty needs while you are out?
Where will the dog stay while you are out?
*
Where will the dog spend the day?
*
Where will the dog sleep?
*
Please describe in detail, how you plan to exercise the dog:
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As they say, a tired dog is a good dog! Exercise is crucial for any dog, but some require more than others. How will you fulfill and accommodate the exercise needs of the dog you are applying for?
How much exercise can you commit to providing daily to the dog?
*
Walks, in particular, are absolutely necessary and extremely beneficial forms of exercise:
Are you looking for a dog that can be exercised off leash in non-contained areas?
*
What steps are you willing to take to ensure this dog adapts and thrives in an new environment?
*
Are you willing to be patient while the dog adjusts to their new home?
*
Rescued dogs have sometimes been in neglectful and/or abusive situations and therefore, may experience difficulty making the transition to a new home. Issues such as accidents indoors, barking, pulling on leash, anxiety, and conflict with other animals may occur while the dog is adjusting to their new environment:
How long do you feel an animal should be given for an adjustment period?
*
Are you willing to take the time to work with the on the aforementioned adjustment issues, should the need arise?
*
Do you understand and accept that changing a dog's environment may cause the dog to have accidents indoors, especially in the early days of the adoption?
*
If a behavioural issue arises, what steps will you take to work on it?
*
If necessary or if suggested by the rescue, are you willing to enrol the dog in a reputable obedience program?
Please describe how you plan to train this dog: leash walking, indoor and outdoor manners, socializing with other dogs and people and off-leash recall:
*
Please be as detailed as possible! What is your knowledge of current training methodologies? What methods would you employ for training and discipline?
How often do you plan to visit the veterinarian? How much are you willing to spend to provide the necessary care for this dog?
How do you plan to groom the dog?
Have you ever sold, surrendered or given any of your pets away for any reason?
If yes, please explain the reason(s):
What do you consider a good and valid reason for giving up a pet?
1st Reference's name:
*
First Name
Last Name
1st Reference's number:
(###)
###
####
2nd Reference's name:
First Name
Last Name
2nd Reference's number:
(###)
###
####
Veterinary reference:
*
If applicable, please provide the name, phone number, and address of the clinic where you have taken your past and current animals, and where you plan to take the dog. Please call your vet and give them permission to speak to us regarding your animals. If we call and they say you have not contacted them to release the information, your application will not be processed. If you have never owned an animal, please provide the information of the clinic where you plan to take the dog.
The average dog has a lifespan of 12 to 15 years. Are you willing to make a commitment both emotionally and financially to this dog, for the rest of his/her life?
Yes
No
If, for any reason, you are unable to keep this dog, do you agree to notify Coastal K9 immediately so that we can take possession and look for another adoptive family?
Yes
No
Do you agree to abstain from tethering this dog without direct supervision for the duration of its life?
Yes
No
Do you agree to register for training and to provide Coastal K9 with details and progress reports from a reputable trainer and to assume the costs associated with this?
Yes
No
Do you accept that Coastal K9 Rescue Society makes no explicit or implicit guarantees in reference to the health, and/or temperament of the animal? The animal is adopted as is and the adopter assumes all responsibility for treatments of any and all existing conditions or any other conditions of physical or temperament changes that may occur and that you agree that Coastal K9 Rescue Society in no way can be held liable with regards to this investigation and/or placement. While Coastal K9 Rescue Society makes every effort to place only healthy animals and temper tested animal, Coastal K9 Rescue Society cannot guarantee the health or temperament of any animal and shall not be held responsible for any medical expenses which may be incurred, temperament or whether the animal is housebroken.
Yes
No
Are you willing to allow in-home checks, follow-up calls and/or pre-adoption verification of suitability of placement?
Yes
No
Have you ever been convicted of or investigated as in relation to animal abuse; neglect or fined under either the Provincial Dog Act or Municipal Animal Control By-Laws?
Yes
No
Have you had an adoption application turned down by an animal placement organization?
If yes, please explain:
If this is a long distance adoption, and you are unable to keep the pet, are you willing to assume the responsibility, including travel and financial responsibility, for either returning the pet to us or ensuring that it is boarded at a safe boarding kennel until we can ensure reliable transportation?
If there are municipal by-laws pertaining to pet ownership in your area and all dogs MUST be licensed in your municipality, do you agree to license your dog once the adoption is completed and have him/her wear a tag at all times?
Do you have any affiliation with any other rescue group or rescue/humane organization?
Please list any concerns or final questions here:
I certify to the best of my knowledge, the information provided in this application is true as of the date of this application. I agree that submission of this form will constitute a legally signed document. by submitting this application, you agree to give Coastal K9 and/or any representative acting its behalf, permission to fully investigate the information provided as well as permission to contact any veterinarians and/or other officials and/or organizations and/or references given on this application as it relates to pet ownership.
*
Agree
Do Not Agree
Signature:
Date:
MM
DD
YYYY
