Name: Where are you applying from? —Please choose an option—OntarioQuébecBritish Columbia Name of the dog are you applying for: Email: Phone number (s) (IMPORTANT: Please leave no dashes or spaces when entering phone number as the example shows up: 1112223333): Address, including city and postal code: Is your home a: HouseApartmentCondoTownhouse
Do you have other pets? if so, please list species and ages:
How many living in the house and what is their age? be specific:
Would you be willing to allow a member of APM conduct a home visit?:
Please list 2 personal references with their phone numbers:
Please provide vets name and phone number:
What is it that you seek most in a dog? (Companion, etc):
Do you have a fenced yard? Please describe:
May we contact your vet for a reference?: YesNo
What would be a "deal breaker" for you? (a behavior you would not tolerate):
Have you ever had a dog that you surrendered/sold/gifted/transfered? If yes, please describe the circumstances:
How long will the dog be alone in any 24 hr period? where will the dog be kept when alone?:
Where will the dog be kept at night?:
What is your occupation?:
Daily work hours:
If you live in a condo or townhouse, have you determined what kind or size of dog you association will allow in your home?:
List past animals that you, as an adult, have been responsible for: Dog/Cat/Other/Breed/Lives Indoors or Outdoors/Age/Was pet altered?/What happened to pet?:
For puppies who are adopted when they are too young to be sterilized, you must have this done within 30 days of their 6 month birthday. I understand that I must send proof of alteration to APM within seven days of the sterilization or the dog will revert back to being the property of APM:
Are you aware there is a $600.00 CAD (certified funds only) non-refundable adoption/processing fee for the dog/puppy you are considering?:
**Health Disclaimer: We do not guarantee the health of any animals offered for adoption. Any time you adopt an animal, you should take it to a licensed veterinarian as soon as possible. Your animal is, to the best of our knowledge, healthy. Please be aware that the animals available for adoption are rescue animals and, as such, sometime have unknown histories including exposure to certain illnesses. Like human illnesses, these diseases can have an incubation period of up to several weeks. All of our dogs have been seen by a vet and checked for common diseases and illnesses, however that does not guarantee that an illness/disease may present in the future. If the animal you adopt shows signs of illness at any point, you must take it promptly to your veterinarian for treatment at your expense: Agree Are you willing to spend the money to update shots on time, spay / neuter, and provide emergency care for your pet?:
How much do you think it costs, per year, to own a dog?:
Please explain why you want a dog/puppy?:
What have you done to prepare yourself and your family for the addition of a new pet?:
If you move, what will you do to ensure you can take your pet with you?:
If you pet gets lost, in addition to contacting All Paws Matter, what steps would you take to find it?:
What do you see as normal dog/puppy behaviour problems?:
How long do you feel that it will take for a dog or puppy to acclimate to a new household?:
How will you introduce your new dog to your existing pet(s)?:
How will you encourage appropriate behaviour and prevent inappropriate behavior?:
How long do you expect housebreaking to take? (If required):
I understand that, should behaviour issues arise during my ownership of the dog, I must seek the assistance of a trained professional to work through the problems: Yes
How did you hear about All Paws Matter?:
CONTRACTUAL NOTICE: I am adopting the dog for myself and I agree to not give away, sell, or trade my dog, even as a gift to a friend or family member. I will neither take the dog to a shelter nor abandon the dog. I understand that I must notify APM, without delay, if I can no longer care for or keep my dog, and agree to give APM reasonable time to rehome my dog or place my dog in an approved foster home, if available. I must notify APM of any behavioural problems that have occurred at any time before I return my dog. I understand that if I adopt a dog and voluntarily sign the APM Adoption Contract, I will be entering into a legal and binding contract with All Paws Matter Rescue. Breach of any term(s) of that agreement is deemed actionable by APM. I acknowledge that I have read and understand the above notice. Yes By signing this application, I acknowledge that I have answered all questions truthfully. Failure to provide truthful answers can result in the forfeiture of your adopted pet to All Paws Matter Rescue. By signing this form, APM is not guaranteeing that you have been approved for adoption: Agree
Please type your name below. This is an e-signature which states you have answered all questions truthfully and agree to the above:
Date:
Name:
