Heavenly Creatures, Inc

DOG ADOPTION APPLICATION

Heavenly Creatures, Inc. P.O. Box 882, Station C, St. John's, NL, A1C 1C4 709.739.0077

Please read through all of our adoption policies and procedures before completing this application. To submit the application, simply attach it to an e-mail and send it to us at

Please make sure to fill out the entire application, as incomplete applications will not be considered.

To qualify for adoption, the following criteria must be met:

- All sections of the form must be completed.

-  This form must be filled out by the person adopting the animal. We do not give animals out as gifts to other adults.

-  The adopter must be a minimum of 21 years of age.

-  All adult members of the household must agree to take part in the interview process and further agree to all term and conditions regarding adoption of this animal.

There are fees associated with adopting a pet from Heavenly Creatures. These fees help us continue to provide proper care for our animals, and they enable us to save more homeless animals.

Our fees are as follows:

$100 - puppy/unfixed dog

$195 - spayed/neutered dog

** Please be advised that we are a volunteer organization that receives numerous applications for adoption, so it may take 24 - 72 hours for a response.

Date of Application: ______

Is there a specific dog from our website who are you interested in meeting (If Yes, who has caught your attention)?

______

If No, what characteristics are you looking for in a new pet:

Do you have an age requirement (e.g. no older than 5)? ______

Do you have a gender preference? ______

Do you have any breed likes or dislikes (e.g. “I would like a Terrier mix”

or “I don’t like Rottweiler mixes”)? ______

If you are looking for a purebred, please list the breed. ______

Would you accept a dog that requires regular grooming? ______

Would you accept a dog that has been abused? ______

Do you require a dog that is friendly with children? ______-

Do you require a dog that is friendly with other dogs? ______

Do you require a dog that is friendly with cats?______

Do you need a dog who is good off leash (will stay close to your cabin or

be a good off leash hiking companion)? ______

Do you require a dog that is good in the car? ______

Would you accept a dog that has a physical handicap (e.g. an amputation)?

______

Would you accept a dog that requires regular medical treatment for a disorder or disease (e.g. diabetes)?

______

What size would you consider adopting: ______

- Toy size: up to 20 pounds (E.g. Chiahuahuas, Toy Poodles, Pugs)

- Small: 20-35 pounds (E.g. size of Beagles, Cocker Spaniels, most Terriers)

- Medium: 30-50 pounds (E.g. size of Border Collies)

- Large: 50-75 pounds (E.g. Labrador Retrievers, and Setters)

- Extra Large: 75 pounds and over (Akitas, Mastiffs, and Great Danes)

Why are you looking for a new pet (please check all that apply):

_____ I am seeking companionship for myself/my family

_____ I am seeking companionship for an existing animal

_____ I am seeking a guard dog

_____ I need a gift for a family member/friend

_____ I want to teach my child responsibility

Name of Adoptive Family Applicants(s): ______

______

______

Please note how many members are in your household and what their ages are (please include the ages of any children living in the home).

______

______

Do you have consent from all household members to adopt a pet? ____ No ____ Yes

Home Tel: ______Cell Tel: ______

E-mail:______

Best time to call: ______

Full address: ______

Postal Code: ______

Driver’s License #: ______Expiry: ______

Address on license: ______

How long have you lived at this address? ______

Do you own your home? ____ No ____ Yes

If renting, we will require your landlord’s permission. Contact name + Tel #: ______

______

Second Piece of ID: ______

Please check all that apply:

_____ Work outside the home

_____ Work at home

_____ Attend school

_____ Retired

_____ Other

Place of Employment (if working outside the home): ______

Work Tel: ______

If unemployed, list your source(s) of income: ______

______

Have you or any other person living in your household ever been convicted of cruelty to or neglect of animals or had an animal confiscated under an adoption contract?

____ No ____ Yes

Do you own other pets? ____ No ____ Yes

If so, describe (type, breed): ______

Is your pet(s) spayed or neutered? ____ No ____ Yes

If no, explain why: ______

Do your pets live indoors, outdoors or both? Please explain. ______

______

If you do not currently own any pets but have in the past, please describe your pet history:

______

______

______

______

How many hours per day will the dog be left alone (without human companionship)? ______

Where in the house will the dog be kept during the day while you are at work? Please check all that apply:

_____ In the house in a crate/kennel

_____ Outside in a fenced garden (or dog run)

_____ Tethered outside

_____ At a friend’s or relatives’ home

_____ Home alone with free run of the house

_____ Sectioned off in part of the house

_____ Doggy Day Care

Where will the dog sleep? ______

For what reason(s) would you give up a pet (Please describe all that apply: for example, allergies, not getting along with other pets, divorce, not housebroken, moving, aggression, new baby, increased work hours, etc.)?

______

______

______

______

______

For what reasons would you euthanize a pet; please list all that apply (broken limb, fleas, not housebroken, moving, children, aggression toward people, aggression toward other animals, allergies, destructive behaviors (e.g. scratching furniture), ear infections and skin conditions, etc.)?

______

______

______

______

______

Are you prepared to allow at least one full month for your dog to become adjusted to its new home? _____ No _____ Yes

How much do you expect to have to spend on food and veterinary care per year? ______

If you intend to board or kennel your dog, what do you feel will be the cost of this service?

______

Please describe your lifestyle. Is it active (e.g., hiking, camping, in or out a lot) or is it more relaxed? ______

______

______

Different dogs have different exercise requirements. How often/much time can you realistically commit to walking a dog?

_____ Once or twice daily for an hour or more per day

_____ A few times weekly

_____ I need a dog who is mostly content to run around/play in my garden for exercise

_____ I need a dog who is mostly content to being exercised at the dog park

Do you have a securely fenced yard? If so, please note the height. (Please Note: a fenced yard is not always required) ______

Which of the following behavioral issues are you willing to work on with your new pet?

_____ Barking

_____ House training

_____ Dominant behavior

_____ Separation anxiety

_____ Walking on a leash

_____ Submissive behavior

_____ Jumping on people

_____ Chewing

_____ Agression toward other dogs

Some of our rescued dogs have had little or no training. Are you willing to take your dog to a professional trainer? _____ No _____ Yes

Are you willing to consider crating (aka kenneling) your dog while you are out if destructive behavior surfaces? _____ No _____ Yes

Who is (or will be) your veterinarian (please include clinic)?______

______

Will you grant permission for Heavenly Creatures to contact your veterinarian for a reference? ____ No ____ Yes

Please provide Heavenly Creatures with the names and contact information of two references (who are not family members or your vet and who are not related to one another) who can attest to your ability to love and care for a pet.

1. ______

______

______

2. ______

______

______

Please Note: We do not have a shelter; all of our animals are housed in foster homes. If you are approved for a dog, a time will be scheduled when you can meet the dog in the foster parents' home or we will bring the dog to your home for a visit.

If this Application is satisfactory to Heavenly Creatures:

1. A volunteer will contact you to commence the interview process (which begins with a phone screening of all adults in the home). A second volunteer may do a second phone screening with you within 24 hours or so.

2. If all goes well, you will be given an appointment to meet a dog or dogs, if there are any in our care who you are interested in that we agree might be a good match.

3. If the meeting goes well, you can take the dog then and there for atrial adoption under a foster agreement (A trial of a week, or sometimes more, allows all involved to attempt to ensure that this is the right match).

3.  A volunteer will do a home visit after the trial period (and sometimes before), at which time – if the dog is deemed by us to appear happy and healthy-you will pay the adoption fee and sign our adoption agreement.

Heavenly Creatures attempts to match each animal to a family that most suits the needs of that animal. We sometimes receive numerous applications for one particular animal, so if you are not selected we will keep you on file in the event another, similar animal becomes available.

DECLARATION:

I certify that the information I have given is true and that any misrepresentations of facts may result in the Adopter(s) losing the privilege of adopting a pet from Heavenly Creatures Inc., the voiding of the adoption contract and entitlement of Heavenly Creatures Inc. to legal remedies, including reclaiming the animal and/or damages.

The confidentiality and privacy of your personal information found within this application form are assured. Please sign below as proof that you have read and accept the above statements.

Applicant Signature(s): ______

______

Date: ______

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FOR OFFICE USE ONLY

Application Status:

___ Approved / ___ Not Approved Date: ______HC rep initials: ____