Grand River All-Breed Animal Rescue

Pet Adoption Form

Name: *

Address: *

Unit:

City / Town: *

Province: *

Postal Code: *

Daytime Phone Number: *

Evening Phone Number: *

E-Mail Address: *

Type of home you live in:

Farm House Townhouse Apartment Other

Please explain your type of dwelling if you selected "Other"

Do you own your home or rent:

Own Rent

How long have you lived at this address: *

Where did you live prior to your current home?

Your occupation: *

What type of pet are applying for?

Dog Cat Small Animal

Who will be your new pet's primary caregiver? *

Would this pet live:

Indoors Outdoors Indoors and Outdoors

If you plan to have your new pet live outdoors, please describe their living arrangements: *

If you are applying for a dog, please describe your yard, including the type and height of fencing:

If you are adopting a cat, would you like it to be declawed:

Yes No N/A

How many adults live in the household: *

How many children live in your home? What are their ages? *

Does everyone in your home want to get a new pet?

Yes No

If not, who and why:

Please select which of the following describes what you are looking for in a pet:

Rabbit Ferret Hamster / Gerbil Rat / Mouse Kitten, less than 6 months old Kitten, less than a year old Young adult cat, 1-3 years old Mature cat, at least 2 years old Senior cat, 8 years or older Small dog, less than 25 lbs Medium dog, 25-50 lbs Large dog, over 50 lbs Puppy, less than 6 months old Puppy, less than a year old Young adult dog, 1-3 years old Mature dog, at least 2 years old Mature dog, at least 5 years old Senior dog, 8 years or older No age preference Male Female No gender preference Short hair Medium hair Long hair No coat preference Active dog Moderately active dog Less active dog Good with kids Good with dogs Good with cats Good with horses or livestock House trained Crate-trained Obedience trained Good in a car

Are there any breeds that you prefer?

Why do you like this breed:

Is there a particular animal in our program that you are wishing to adopt?

Why do you want this particular pet?

Please describe your current pets: *

Please describe your past pets and list what happened to them: *

Have you ever had to find a new home for a pet, or take it to a shelter, and if so, why? *

Are your pets spayed/neutered:

Yes No

Have any of your pets ever had offspring while in your care?

Yes No

Your Veterinarian's Name:

Veterinarian's Phone Number:

If requested, would you be willing to

Crate your dog Take your dog to obedience school

Where would your pet spend the day?

Where would your pet spend the night?

How many hours will your pet be alone each day? *

How often do you go on vacation? *

Where would the pet stay while you are on vacation: *

What would you do if you had to move into housing that didn't allow pets? *

How much do you expect to spend on your new pet, per year, on food, vetting and supplies? *

If you are applying for a dog, how often do you plan to exercise him or her? What kind of exercise? *

Please provide 2 references, including their phone numbers. Anyone who knows you well, and knows how you would care for a pet is fine. *

Do you have any other comments or questions about your application?

BY SUBMITTING THIS APPLICATION, I UNDERSTAND THAT THERE IS NO GUARANTEE THAT I WILL BE APPROVED.

I HEREBY AUTHORIZE THE GRAND RIVER ALL-BREED ANIMAL RESCUE TO VERIFY THE ANSWERS GIVEN IN THIS APPLICATION.

Once you have submitted your application, please notify us by email at GrandRiverRescue@hotmail.com

To speed up the application process, please call your veterinary clinic and give them permission to give us a reference!