ADOPTION ADOPTION Adoption Fees Adoption Fees Name* First Last Occupation*Spouse/Partner's Name First Last Spouse/Partner's OccupationPrimary Phone*Cell PhoneWork PhoneAddress* 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?*YesNoIf yes, who and when?Have you owned a dog(s) before in your adult life?*YesNoWho are you adopting this dog for?*YourselfSomeone elseAre you 18 years or older?*YesNoAre all members in the household in agreement about adopting a dog? (This includes any and all roomates)*YesNoType of dwelling*HouseApartmentCondoOtherDo you own or rent?*OwnRentIf in a renting situation have you cleared the adoption of a dog with the owner?YesNoPlease provide proof with a letter or agreementAccepted file types: pdf, png, jpg.PDF format preferedWhere will the dog live?*IndoorsOutdoorsBothHow do you feel about crate training this animal?*Is your yard fenced?*YesNoHeight and type of fence:How will you ensure the animal does not jump over this fence?Do you have any other animals?*YesNoWhat kind and how many animals?Are all the animals you have spayed/neutered?YesNoIf no, why not?Are all the animals up-to-date on their vaccinationsYesNoIf not, why not?Who is your veterinarian?Which veterinary clinic is your vet at?Do you regularly take your animals to the vet?YesNoDo all your other animals get along with dogs?YesNoOn 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?*YesNoIf 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?YesNoAre you familiar with the needs of a dog?*YesNoPlease list a few:*Have you had experience training dogs?*YesNoDescribe the methods of training you like to use:*Do you have issues with house breaking a dog?*YesNoPlease 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?*YesNoReason the animal went missing from the start?*Would you be willing to have a representative of TBDHS visit your home PRIOR to adoption?*YesNoWould you be willing to have a representative of TBDHS visit your home AFTER the adoption?*YesNoWhy 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?YesNoReferences 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 ReferenceIn 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 youIndividual 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:CAPTCHA