Adoption Application Dog

Expression of Interest: Dog Form

Thank You For Your Interest In Giving A Pet In Need A Loving Home!

Agreement*
- I have read the above and understand the adoption procedure:

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Name of dog you’re interested in adopting: OLD*
1st Choice 2nd Choice
Name of dog you're interested in adopting:*
If you do not see the name of the dog you’re interested in, they have reached their limit of applications we will be accepting for them at this time.
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Animal ID (If known, usually found on SDHS website): OLD*
1st Choice 1st Choice

Adopter information

Name*
First Last
Occupation*
Address*
Street Address Address Line 2 City Province Postal Code
Home Phone Number*
Work Phone Number
Cell Phone Number*
Email*

1. Please complete the following for ALL human members of the household, including yourself:

Family Member #1 Name*
First and Last Name
First and Last Name
Family Member #1 Age*
Age
Please enter a number less than or equal to 120.
Family Member #1 Relationship*
Relationship to Applicant
Relationship to Applicant
Family Member #2 Name
First and Last Name
Family Member #2 Age
Please enter a number less than or equal to 120.
Family Member #2 Relationship
Relationship to Applicant
Family Member #3 Name
First and Last Name
Family Member #3 Age
Please enter a number less than or equal to 120.
Family Member #3 Relationship
Relationship to Applicant
Family Member #4 Name
First and Last Name
Family Member #4 Age
Please enter a number less than or equal to 120.
Family Member #4 Relationship
Relationship to Applicant
Family Member #5 Name
First and Last Name
Family Member #5 Age
Please enter a number less than or equal to 120.
Family Member #5 Relationship
Relationship to Applicant
Family Member #6 Name
First and Last Name
Family Member #6 Age
Please enter a number less than or equal to 120.
Family Member #6 Relationship
Relationship to Applicant
Is your household aware?*
Is everyone in the household aware that you have applied to adopt a dog/puppy from SDHS?

2. Please list the current pets residing in your home:

Do you currently have pets living with you?*

Do you currently have pets living with you?

Pet #1 Name

Name

Pet #1 Species & Breed

Species & Breed

Pet #1 Age

Age

Pet #1 Sex

Sex

Pet #1 Spayed/Neutered

Spayed or Neutered

Pet #1 Declawed

Declawed

Pet #1 Indoor or Outdoor

Indoor or Outdoor

Pet #1 Where did you get the pet

Where did you get the pet?

Pet #1 Where is the pet now?

Where is the pet now?

Pet #2 Name

Name

Pet #2 Species & Breed

Species & Breed

Pet #2 Age

Age

Pet #2 Sex

Sex

Pet #2 Spayed/Neutered

Spayed or Neutered

Pet #2 Declawed

Declawed

Pet #2 Indoor or Outdoor

Indoor or Outdoor

Pet #2 Where did you get the pet

Where did you get the pet?

Pet #2 Where is the pet now?

Where is the pet now?

Pet #3 Name

Name

Pet #3 Species & Breed

Species & Breed

Pet #3 Age

Age

Pet #3 Sex

Sex

Pet #3 Spayed/Neutered

Spayed or Neutered

Pet #3 Declawed

Declawed

Pet #3 Indoor or Outdoor

Indoor or Outdoor

Pet #3 Where did you get the pet

Where did you get the pet?

Pet #3 Where is the pet now?

Where is the pet now?

Pet #4 Name

Name

Pet #4 Species & Breed

Species & Breed

Pet #4 Age

Age

Pet #4 Sex

Sex

Pet #4 Spayed/Neutered

Spayed or Neutered

Pet #4 Declawed

Declawed

Pet #4 Indoor or Outdoor

Indoor or Outdoor

Pet #4 Where did you get the pet

Where did you get the pet?

Pet #4 Where is the pet now?

Where is the pet now?

Are all animals up to date with vaccinations?
Are all animals in the home up to date on vaccinations?
Describe the pets you’ve had in the past:
Describe the pets you’ve had in the past:
Have you ever had to rehome a pet? If so, please explain the situation:
Have you ever had to rehome a pet? If so, please explain the situation:

3. In what type of dwelling do you live (e.g., house, apartment, condo?):*
4. Please list the vet clinic you (plan to) use:*
5. Have you previously had a pet with special needs (behavioural or medical)?*
6. Are you open to adopting a dog with special needs (behavioural or medical)?*
7. Please share the personality traits you are looking for in your new dog:
8. Anything else you’d like to share with us?
Please select the first preferred date for your appointment.
Year
Month
Day
Please select the second preferred date for your appointment.
Year
Month
Day

Thank you for your patience and understanding during these uncertain times. We look forward to speaking with you soon. Until then stay safe and healthy!

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