Adoption Application

 

PET ADOPTION APPLICATION
Old MacDonald Kennels
Phone 403-783-7447

Name:__________________________________________________________
Address:________________________________________________________
City:______________________ Province:_________ Postal code:___________
Hm Ph:____________________ Wk Ph:______________________ Age:______
Email Address: ____________________________________________

Please answer the following questions:

1. Name of pet you are applying for: __________________________________

2. Description of pet you are applying for (or looking for): _______________________________________

3. Do you want this pet for:
COMPANION - - - - - GIFT
PROTECTION - - - - - OTHER__________________________

4. This pet will be without human companionship for about
____________ hours per day, ______________days per week.

5. Where will your pet be kept?
During the day? (circle all that apply)
INDOORS - - OUTDOORS - - DOG PEN - - CRATE - - BASEMENT - - GARAGE - - OTHER________________

During the night?
INDOORS - - OUTDOORS - - DOG PEN - - CRATE - - BASEMENT - - GARAGE - - OTHER________________

6. Where do you live?
HOUSE - - - APARTMENT - - - TOWNHOUSE - - - OTHER_______________
____I RENT - - - ____I OWN - - - ____ LIVE WITH MY PARENTS

7. Does your landlord allow pets? YES - - - NO - - - DON’T KNOW
Deposit required?____________________ - - - Monthly rent increase?___________
Landlord’s Name:______________________________ - - - Phone:________________

8. Do you have a fenced yard? YES - - - NO
If fenced, please describe the height and type:____________________________

9. Please provide the following information about your household:
Number of adults: ________ Ages: ______________
Number of children:________ Ages:_________________

10. Is anyone in your family allergic to animals?_____________ - - - CATS - - - DOGS

11. What will you do with your pets if you move in the future?:__________________
______________________________________ ----___________________________

12. How much do you anticipate spending yearly to feed, vaccinate, license and
provide medical care for your pet?______________________________________

13. Have you ever given a pet up? (Yes/No) If Yes, why? __________________________________
_______________________________________________________________________

14. What type(s) of pets do you own or have owned in the last 10 years?
Name - - Type/Breed - - Kept Where - - Age - - Neutered (Y/N) - - Sex - - Still Own(Y/N)

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

15. Who is (was) your veterinarian for the above animals?
Name:__________________________________________________________
Address:________________________________________________________
Phone:__________________________________________________________

16. Who is the veterinarian that you plan to use for your new pet?
Name:__________________________________________________________
Address:________________________________________________________
Phone:__________________________________________________________

17. Please provide a personal reference:
Name:__________________________________________________________
Address:________________________________________________________
Phone:__________________________________________________________

18. Do you realize that a dog or cat may live 15 or more years? - - - YES - - - NO

19. It may take your new pet two or more weeks to adjust to its new home, especially
if other pets are involved. Are you prepared to allow this much time? - - - YES - - - NO

20. When would you be ready to bring your new pet home if approved?
________________________________________________________________

21. How do you plan to house train your dog?______________________________
_______________________________________________________________________


By signing below, I certify that the information I have given is true and that I recognize
that any misrepresentation of the facts may result in my losing privilege of adopting a
pet from Old MacDonald Kennels.

I authorize investigation of all statements on this application.

Signature:_____________________________________________Date:______________


Completed applications may be emailed to: omk.kennels@gmail.com
or hand delivered to Old MacDonald Kennels

for a hard copy – to print out the application form: ctrl-P

for a soft copy – ctrl-A, ctrl-C, then paste (ctrl-V) it into your Word doc to fill out and email.