Adoption of a dog: application form

Please make sure you enter an answer for each question so that the form submission works correctly. Thank you!

1. Which dog would you like to adopt (among the ones available for adoption)?

Your information

2. Full name

3. Phone number

4. Email address

5. Name and contact information of your veterinarian

6. Your address
#, street:
city:
province:
postal code:

7. When are you usually available for a visit at the shelter?
Week daysWeek eveningsWeekends

8. Why do you wish to adopt a dog today?

Your profile

9. What kind of dog are you looking for?
FemaleMaleNo preference

13. Energy level desired
LowMediumHigh

14. Are you ready to work with a dog that might require some level of toilet training?
YesNo

15. Have you ever taken dog training classes?
YesNo

15A. Please specify:

16. Would you be willing to take dog training classes with the dog you adopt?
YesNo

17. What do you know about the breed of dog for which you are applying?

18. A dog needs mental and physical stimulation on a daily basis. What actions will you take to meet those needs?

19. All animals need some adjustment time after adoption. What do you plan to do to help your dog adjust to your home in the weeks after adoption?

Your home

20. You live in

21. Do you own or rent your home?

21A. If you rent, are pets allowed?
YesNo

21B. Name and phone number of the owner:

22. How many hours per day will the dog be left alone?

23. Do you have a fenced yard?
YesNo

26. Do you agree to a home visit PRIOR to adoption?
YesNo

27. Do you agree to a home visit AFTER the adoption to ensure that the dog adapts well?
YesNo

28. How many people at home, including you?

29. What age(s)? Please indicate the age of each member of your household.

30. Does someone at home have allergies?
YesNo

30A. Specify:

31. What phrases best describe the ambiance in your home? Check all that apply.
Dynamic, a lot of noise and movementThe house is empty most of the timeThere is always someone at the houseIt's quiet, we can almost hear cricketsOther, specify:

32. Do you have pets at home?
YesNo

32A. For each animal, please provide the species, breed and age. Also, are your animals used to being around other animals?

32B. Are your pets sterilized?

33. Please tell us about other dogs you have had in the past (if any).

Scenarios

34. When your family is away from home overnight or go on vacation, what will you do with the dog?

35. Under what circumstances would you give up your dog?

36. If the dog is showing signs of behavioral problems (chewing, digging, destruction, lack of cleanliness, possession), what will you do about it?

By submitting this application for adoption you are testifying that all the information provided is true and factual. The SPCA Roussillon team reserves the right to reject any application for adoption at their discretion. You understand that by adopting from a shelter, you contribute to saving a life so the resale, reproduction and euthanasia without a medical reason go against our mission.

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