Which pet are you applying for?:

CAMP LOTSADOGS RESCUE APPLICATION
Completing this application does not put the applicant under any obligation and does not guarantee that the applicant will receive a dog.All information is kept strictly confidential. Please complete the application in full.
ABOUT YOU
Name of All Adults in Household
E-mail address
Home address
City, Province, Postal Code
Daytime phone
Evening phone
Mobile or cellular phone
Best time to call
Occupation
Number of persons in your household
Adults (indicate male or female)
Children (indicate ages, male or female)
Who will be the dog’s primary caregiver?
Is anyone allergic to animals?
ABOUT YOUR HOME
What type of dwelling do you have?
Do you own or rent your home?
If you rent your home, do you have your landlord’s permission to keep a dog?
Landlord’s name
Landlord’s phone number
How long have you lived at this address?
*If less than 3 years, please list your previous addresses for the last 3 years
Do you have a yard?
If you have a yard is it fenced?
Does the fence completely enclose the yard?
If yes, what kind is it and how high is it at its lowest point?
How do you plan to meet your dog's needs for exercise?
If your yard is not fenced, how do you plan to ensure the dog does not escape?
Do you have a dog kennel run?
If yes, how large is it?
Where will the dog spend the day?
How many hours a day will the dog be left alone?
Where will the dog be kept when left alone?
Where will the dog sleep at night?
Do you plan to use a dog crate?
Are there currently animals in your home?
If yes, please list them, including Type (dog, cat, bird, etc), Gender, Spayed/Neutered,Breed,Age
PET OWNERSHIP QUESTIONS
Please list all pets you have owned in the past ten years (other than the ones listed above), and what happened to each of them. (Please be specific.)
Have you ever bred or raised dogs?
Why do you want to adopt this breed?
How often do you go on holidays or take vacations?
Where would the dog stay while you are on vacation?
What would you do with the dog if you moved somewhere that didn’t allow pets?
How would you handle the following behavioural problems:
Jumping on furniture
Barking
Chewing
Digging
House Soiling
Aggression toward other dogs
Aggression toward humans
Which of these would cause you to return the rescue dog?
Which of the following describes what you are looking for in a dog?
Size preference
Age preference
Gender preference
Desired activity level
Other preferences
Are there any other traits you prefer?
Would you be willing to adopt a special needs dog (health problems, behaviour problems etc.)?
If there is a specific dog that you are interested in adopting?
If the dog you prefer is no longer available, would you be interested in another one of our dogs?
Reference 1:
Relationship to you
Name
Address
City Province Postal Code
Daytime Phone
Evening Phone
Best time to call
Reference 2:
Relationship to you
Name
Address
City Province Postal Code
Daytime Phone
Evening Phone
Best time to call
Reference 3:

YOUR VET

Name
Address
City Province Postal Code
Daytime Phone
OTHER COMMENTS, QUESTIONS?
INDEMNIFICATION AGREEMENT
The undersigned Applicant(s) hereby agree to release, indemnify, and covenant to hold harmless, Camp LotsaDogs, its members and officers, and its successors and assigns, from any claims, damages, injuries, costs, or actions incurred as a result of adopting any dog from Camp LotsaDogs.
APPLICANT SIGNATURE:
APPLICANT NAME:
DATE:
E-MAIL COMPLETED FORM TO: