DOG ADOPTION | Thunder Bay & District Humane Society

Name*

First Last

Occupation*

Spouse/Partner's Name

First Last

Spouse/Partner's Occupation

Primary Phone*

Cell Phone

Work Phone

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email Address*

Emergency Contact*

First Last

Emergency Contact Phone*

Name of Dog you are interested in adopting & staff you worked with while you were visiting*

Have you ever been approved to adopt from us before?*

If yes, who and when?

Have you owned a dog(s) before in your adult life?*

Who are you adopting this dog for?*

Are you 18 years or older?*

Are all members in the household in agreement about adopting a dog? (This includes any and all roomates)*

Type of dwelling*

Do you own or rent?*

If in a renting situation have you cleared the adoption of a dog with the owner?

Please provide proof with a letter or agreement

Accepted file types: pdf, png, jpg, Max. file size: 120 MB.

PDF format prefered

Where will the dog live?*

How do you feel about crate training this animal?*

Is your yard fenced?*

Height and type of fence:

How will you ensure the animal does not jump over this fence?

Do you have any other animals?*

What kind and how many animals?

Are all the animals you have spayed/neutered?

If no, why not?

Are all the animals up-to-date on their vaccinations

If not, why not?

Who is your veterinarian?

Which veterinary clinic is your vet at?

Do you regularly take your animals to the vet?

Do all your other animals get along with dogs?

On average how many hours per day would the dog be left alone?*

Where will you keep the dog while you are out of the home?*

Where will you keep the dog at night?*

If you go on vacation what arrangements will you make for the dog?*

Describe your home environment. (calm and quiet / busy but relaxed / busy and chaotic)

Describe a typical day for your dog:*

Are there any children in the home?*

If yes, what are their ages?

Are there any dog behaviour/traits you will not tolerate?*

List up to 5 dog behaviours that you Do Not Like:*

Is anyone in your home known to be allergic to dogs?

Are you familiar with the needs of a dog?*

Please list a few:*

Have you had experience training dogs?*

Describe the methods of training you like to use:*

Do you have issues with house breaking a dog?*

Please explain why:

Do you have the necessary time to fully train a dog?*

How much do you think it will cost a month to feed a dog?*

How much do you think it will cost for vet care for the first 6 months?*

Have you ever had to retrieve an animal for running at large?*

Reason the animal went missing from the start?*

Would you be willing to have a representative of TBDHS visit your home PRIOR to adoption?*

Would you be willing to have a representative of TBDHS visit your home AFTER the adoption?*

Why do you want to adopt this dog?*

Why should this dog go to your family?*

Is there any reason why you would consider returning this animal?

Please explain why:

Does your spouse/partner consent?

References are required:

Landlord Name:

If renting, landlord reference required:

First Last

Landlord Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Landlord Phone:

Veterinary Clinic Reference

In submitting this form online, I authorize the TBDHS to receive information from my veterinarian regarding a reference for an adoption.

Veterinary Phone:

Veterinarian Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Minimum of 2 local individuals who DO NOT reside with you

Individual 1 Name:*

First Last

Individual 1 Phone:*

Relationship to Individual 1:*

Individual 2 Name:*

First Last

Individual 2 Phone:*

Relationship to Individual 2:*

Individual 3 Name:

First Last

Individual 3 Phone:

Relationship to Individual 3:

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