Canadian Odd Squad Dog Adoption form

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1 Canadian Odd Squad Dog Adoption form Please complete the following application in full. Incomplete applications may delay the adoption screening process. Adopting a dog into your family is a big responsibility that will last for the dog s life. Name of the dog you are interested in adopting: Date: Name: Name of co-applicant: Phone Number: ( ) - Alternate phone number: ( ) - Mailing address: Street Address Street Address Line 2 City: Province/State: Postal/Zip Code: Country:

2 Physical address (if different from above): Street Address Street Address Line 2 City: Province/State: Postal/zip code: Country: Length of time at your current address: Age of applicant: o Under 18 o o o o o 55+ How long have you been thinking of adopting a pet? Names and ages of all members of your household:

3 Does anyone in your home have asthma or allergies? If yes please explain: Is everyone in your home equally excited about adopting this dog? Please describe your yard: o Farm/Acreage o Single Family Home o Apartment/Condo o Town home o Mobile Home Please describe your yard: Do you rent or own your home? o Rent o Own o Other Please note if you rent we will need written permission from your landlord stating you are allowed to have dogs. We will also accept a phone number where we can contact your landlord to confirm this. What kind of pet are you looking for? o Indoor o Outdoor o Both

4 Where will the dog be primarily kept? o Inside when I am not home o Outside when I am not home o Inside in a Crate when I am not home o Other If other, please explain: Where will the dog sleep at night? o Will sleep in bed with me o Will sleep in a crate at night time o Other If other, please explain: How many hours a day will the dog be without human company? Work/Life o I go to school full time o I go to school part time o I work part time o I work full time o I work from home o I am retired Do you currently own any pets? If yes, please include: sex, age, where you got them and any other information to describe your current animals.

5 Veterinary Reference You NEED to call your vet and let them know we will be calling to do a reference check on you and your pets and allow them to release your information to us. Please ensure your vet(s) will have the following information: Proof of spay/neuter Proof of vaccinations You MUST call and give your vet permission to speak with us after submitting your application or we will be unable to proceed and finish your application. Please call your vets the same time as submitting this application because our volunteers call and check your references as soon as we can and applications come in. Please ensure the vet(s) will have the following information: Proof of spay/neuter Proof of vaccinations Are your current pets spayed/ neutered? o I have no other pets If not, why not? Are your current pets up to date on vaccinations? If not, why not?

6 Your vet's reference, name, number and address: Have your pets ever had puppies or if male has he ever been bred previously? If yes, please explain the circumstance and situation: Have you ever owned pets before? If yes please list ages, and breeds as well as what happened to them? Please describe the activity level in your home o Low o Medium o High Describe the activities you enjoy? i.e. walking What methods will you use to teach the dog to use the bathroom outside? Describe how you will respond to puppy mistakes. i.e. barking, chewing etc. What will you do if behaviours arise?

7 Is there anything else you would like to tell us about yourself or the dog you are looking to adopt or anything you think we should know please do so here Do you understand that puppies/dogs can cause damage to furniture, carpets, vehicles and belongings? Who will care for your pets while you are away? (Vacation etc.) Where will the pet be while you are away at work What are you planning on feeding the dog? What do you feel is a reasonable amount per year to spend on the dog? (Food, Vet, etc) The average lifespan of a dog is years are you prepared to have a pet for this long? Have you applied for any pets or are going to meet them? Thank you for completing the application. If you have any question you can see all of our adoptables by going to oddsquadrescue.com. Please mail to: Canadian Odd Squad Animal Rescue Po box 151 River John Nova Scotia B0K 1N0

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