SAVING GRACE ANIMAL SANCTUARY CANADA & PASSIONATE PAWS LTD. DOG ADOPTION QUESTIONNAIRE *Before you begin our application to adopt, please read and initial the following that you understand and agree: I understand that it takes an extended period of time for the dog to get adjusted to his or her new environment, sometimes up to 3 months, and I am willing to work with the dog through this transitional period. Initial: Returns cannot be dropped off at the facility unannounced and need to be coordinated through Erin or Adrienne. Please note that sometimes placement of a returning animal can take up to a couple of weeks to accommodate dependent on space and the individual needs of a returning animal. Adoption fees are made by cash, paypal or etransfer and non-refundable as adoptions and returns take time and resources to process, care for, re-train and adopt out again. Please keep in mind, we put A LOT of time & effort into our dogs. Although we understand that sometimes things do not always work out due to unforeseen circumstance, we encourage adopters to reach out for help if they are having any issues with their new adopted pet as we can often assist by providing resources for training and advice. Initial: ALL returns MUST come back to Saving Grace Animal Sanctuary - Canada and Passionate Paws Ltd. Initial:
Date: Staff Full Name: Dog: Applicant Information Name of applicant(s): Address of applicant: Postal Code: City: Cell: Telephone: Email: Where did you hear about us? Are you of legal age in the province of Alberta? Yes or No GENERAL INFORMATION 1. Who will have the primary responsibility for this dog? 2. Have you had dogs before? Yes No 3. What happened to them? 4. Have you surrendered or given away a pet? Yes No If yes, please provide the reason:
5. How many hours of exercise can you give your dog? Weekdays Weekends 6. What would you enjoy doing with your dog? On-leash walking Off-leash walking Off-leash parks Jogging Cycling Other 7. Approximately how much do you think your dog will cost you per year? Vet Food YOUR FAMILY Boarding/Grooming/Misc 1. Who are you adopting this dog for? Myself Other: (Please keep in mind, ALL family members/people in the home need to be on board and agree with wanting to add a furry member to the house) 2. Number of adults (18 + years) at home: 3. Number of children at home: 0-7 years 8-17 years 4. Any visiting children? Yes No *If Yes please add ages* 5. Any allergies in the family? Yes No *Please specify* 6. How busy is your family s schedule? Very busy Busy Not busy 7. How would you describe yourself? Nervous Loud Calm Quiet 8. Are you planning on the following in the next year? Moving Holiday Change in schedule Family Changes?
Please specify as well as to what you plan on doing with Adoptee: 9. Where will your dog stay during holidays? (Please circle) At home with care Boarding Other (please specify): YOUR HOME 1. What type of home do you live in? Acreage House Apartment Other 2. Do you: Own Rent 3. Do you have your landlord s permission to have pets? Yes No *Please provide us with contact information for your landlord or a copy of your strata by-laws* 4. On average, how many hours will your dog be alone on: Weekdays Weekends 5. Where will your dog stay during the day? Loose in the house Crated Dog run Fenced yard Loose outside Other *Please Specify* 6. Where will your dog stay during the night? Loose in the house
Crated Dog Run Fenced yard Loose outside YOUR PETS 1. Are there other dogs in your household? Yes No If yes, please list them below: Pet Age Breed/Type Good w/other animals Vaccinated/ Fixed 2. How do your pets deal with new animals? 3. What will you do if your pets do not get along with new adoptee? 4. Have your pets ever shown any aggression towards other animals? If so how do you think you will manage this?
Tell us what you are looking for- Gender: Male Female No Preference Age: Puppy Adult Senior No Preference Size: Small Medium Large No Preference Coat: Short Medium Non Shedding No Preference Do you have any preferences on breed/type/colors? Yes No *If yes please specify* I Would like my dog to: Friendly w/children Friendly w/dogs Friendly w/cats Friendly with new people Enjoy being groomed Enjoy being walked Enjoy car rides Enjoy being pet Enjoy dog parks/trails Be calm Be playful Be independent Not be aggressive Very Important Important Not Important
Not be possessive Not wake me in the night Not be timid Not pull on leash Enjoy being handled Are you willing to work on any of these problems? Please circle: Barking Mild aggression Food aggression House Training Reactive to other animals Nervousness Obedience training Possessiveness Toy possessiveness Separation anxiety Please check: I am not willing to work any problems I would need more information I need a dog already trained I am a first time dog owner I have lots of experience and could manage & train a dog requiring more work I have taken obedience training classes I have successfully trained a puppy before I am willing to obtain helpful resources pertaining to training if needed *Some of the dogs we adopt out may come with mandatory training sessions, is this something you re willing to adhere to even if there is an extra charge? Yes No
Under what circumstances would you surrender the dog back to us? (Circle) Everyday cost Moving Dogs health (vet bills) Less time commitment Behavioral Problems Aggression Relationship Change Personality Conflict Allergies Not getting along with other pets New Baby OTHER 1. Are you are aware Saving Grace Animal Sanctuary Canada / Passionate Paws LTD reserves the right of first refusal? Yes No Meaning if you are unable to continue to care for/keep dog, we have the right to take ownership back of dog. Do you understand this? Yes No Please initial that you agree, consent & understand this: 3. Have all the members of your home met the dog? Yes No 4. Have you or anyone in your household been convicted of neglect or cruelty to animals? Yes No 5. Our dogs may have been abused or neglected as a result they may have physical/behavioral conditions that require particular care; for the most part we have taken the dogs in as a last hope prior to euthanasia. We have put a lot of time, energy, and training into the rehabilitation of the dogs in our care. Are you willing to accept full responsibility for the care, control and health of the dog as well continue with the current training program they are on? Yes No Initial
Any information provided falsely will immediately lead to rejection of this application, and or the dog being brought back into our care. Saving Grace Animal Sanctuary / Passionate Paws Ltd. reserves the right to refuse any applicant. I understand that it is my responsibility to see and evaluate the dog for myself, and making an informed decision before agreeing to adoption. The adoption of a furever lifelong animal companion should never be impulsive, but rather something that is seriously considered to ensure the animal will receive a loving, lasting relationship in a safe home for years to come. Please keep in mind having that perfect dog is something that takes time on both the owner and animal s part; it is not something that happens overnight. Applicant Signature: Date Thank you for taking the time to fill out this questionnaire to help us, help you find the right dog. FOR OFFICE USE ONLY Saving Grace Animal Sanctuary/Passionate Paws LTD Staff: Approved? Reason: Yes No Pending