Click on the SUBMIT button when ready to send your information to us!. Glanbrook District Animal Control Application for Adoption

Because we care where our animals go to live forever....

If you would like to adopt an animal from our shelter, please complete the form below. Although mainly applicable for dog adoptions, you may use form to adopt any other animal that we may have available for adoption. Once your application is approved by the adoption committee, arrangements can be made to meet the animal you are interested in adopting.

DATE:

NAME (FIRST AND LAST): 

STREET:

CITY:

POSTAL CODE:

HOME TELEPHONE:  

WORK TELEPHONE:

E-MAIL: 

NAMES AND RELATIONSHIPS OF OTHER ADULTS LIVING IN THE HOME. 

DO YOU HAVE CHILDREN? YES NO

IS THIS LIKELY TO CHANGE IN THE FUTURE?  YES NO

PLEASE GIVE THE NAMES AND AGES OF ANY CHILDREN LIVING IN THE HOME.

HOW DID YOU HEAR OF OUR FACILITY?             

WHY DO YOU WANT TO ADOPT A PET?

WHAT DO YOU KNOW ABOUT THE BREED YOU ARE INTERESTED IN ADOPTING?

WHY DO YOU WANT TO ADOPT FROM OUR SHELTER?

WHAT TYPE OF DWELLING DO YOU LIVE IN?  Detached House Apartment/Condominium Duplex/Triplex Farm Other

DO YOU RENT OR OWN YOUR HOME? Own Rent

IF RENTED, DOES YOUR RENTAL AGREEMENT PERMIT YOU TO KEEP LARGE DOGS? Yes No Not Sure   Note:  A letter may be required from your landlord.

HOW LONG HAVE YOU LIVED AT YOUR PRESENT ADDRESS?

WHAT IS THE SIZE OF YOUR LOT?  

IS IT FENCED? Yes No We have a dog run. We have underground fencing.

DESCRIBE THE TYPE AND HEIGHT OF FENCE.

HAVE YOU HAD DOGS IN YOUR ADULT LIFE? 

IF YES, WHAT HAPPENED TO THEM?

DO YOU HAVE ANY OTHER ANIMALS? Yes No

WHAT KIND AND AGES?

HOW DOES YOUR DOG GET ALONG WITH OTHER DOGS?

WOULD EVERYONE LIVING IN YOUR HOUSE INCLUDING ANY PRESENT DOGS BE AVAILABLE TO COME AND  MEET  A POSSIBLE ADOPTEE? Yes No

ARE THERE ANY MEMBERS OF YOUR FAMILY AT HOME DURING THE DAY? Yes No

ON AVERAGE HOW MANY HOURS OF THE DAY WILL THE DOG BE LEFT ALONE? 

DESCRIBE A TYPICAL DAY FOR YOUR DOG.

ARE YOU FAMILIAR WITH CRATE TRAINING? Yes No

ARE YOU IN FAVOUR OF IT? WHY OR WHY NOT? PLEASE EXPLAIN.

WHERE WILL YOU KEEP THE DOG DURING THE DAY?

WHERE WILL YOU KEEP THE DOG AT NIGHT?

IS ANY MEMBER OF YOUR FAMILY ALLERGIC TO DOGS? Yes No

HAVE YOU HAD PREVIOUS EXPERIENCE TRAINING DOGS? Yes No

WHAT METHODS HAVE YOU USED?

DO YOU INTEND TO TAKE YOUR NEW DOG TO OBEDIENCE CLASSES? Yes No

WHAT SCHOOL OR TRAINER DO YOU HAVE IN MIND?

PLEASE DESCRIBE THE DOG YOU WOULD MOST LIKE TO ADOPT. 

(NAME, AGE, SEX, ACTIVITY LEVEL)

ARE THERE ANY BREEDS OF DOGS THAT YOU DO NOT WISH TO CONSIDER ADOPTING?

FOR FOLLOW-UP PURPOSES WE REQUIRE: 

NEXT-OF-KIN NAME: 

(Must be different than applicants address)

NEXT-OF-KIN ADDRESS: 

NEXT-OF-KIN TELEPHONE NUMBER:

WHO IS THE VETERINARIAN THAT YOU MOST OFTEN USE?

DR. NAME:   

CLINIC NAME:

CITY:        PHONE:

NAME, ADDRESS AND PHONE NUMBER OF TWO INDIVIDUALS THAT KNOW OR HAVE KNOWN YOUR PETS AND WILL ACT AS A REFERENCE. 

ARE YOU WILLING TO HAVE A MEMBER THE ADOPTION COMMITTEE VISIT YOUR HOME PRIOR TO ADOPTION  BY APPOINTMENT ONLY? Yes No

PLEASE ADD ANY ADDITIONAL INFORMATION THAT MAY HELP US DETERMINE THE SUITABILITY OF YOU AN ADOPTIVE HOME.

Feel free to contact us to check on the status of your application.

Our Pets are Precious to Us...

We reserve the right to refuse any application.

Thank-you