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First Name

Last Name

Partner's First Name

Partner's Last Name

Phone

Occupation

Partner's Occupation

Name of dog you're applying for

Age

Have you applied to adopt from Coastal K9 before?

Address line 1

Address line 2

City

Province

Postal Code

How long have you lived at your current address?

Describe household members: ages, occupation, phone number if applicable

Do children regularly visit your household?

If children reside or visit regularly, how will you facilitate a good relationship between them and the dog?

General atmosphere of your home (Loud / Quiet / Busy / Calm)

Describe your household's activity level

Are any household members allergic to animals?

If yes, please explain (what animal, what allergy)

Do household members store vaping or marijuana products inside the home?

Do household members smoke tobacco or marijuana inside the home?

Is your home rented or owned?

If rented, does your landlord permit dogs? Any breed or size limitations?

If rented, landlord's contact information (will be used to verify)

Describe the fenced area of your yard: material, size, height. If not fenced, describe how you'll keep a dog secure outdoors

Will you be the primary caretaker of the dog? Please explain

In your absence, who will take care of the dog? Contact info required

During vacations or extended periods away, how will you ensure care?

How long will the dog be left alone on an average day?

If left alone for extended periods, how will you meet exercise, social, and potty needs?

Where will the dog stay while you're out?

Where will the dog sleep?

Could your family conceivably relocate in the future? If so, how would the dog factor in?

Could your family grow in the future? If so, how would you accommodate a dog that doesn't do well with small children and/or needs extensive exercise/attention?

How experienced are you with handling dogs?

I have owned many dogs

I currently own my first dog

I have owned dogs in the past

I grew up with dogs or my family owned them

I have dog sat and/or dog walked

This will be my first time handling and living with a dog

If this is your first time with no prior experience, describe any other dog handling experience and how you've educated yourself

What do you think are the most important responsibilities of dog ownership?

Do you currently own a dog(s), have you owned in the past, or both?

If currently own: describe name(s), breed(s), size(s), gender(s), pack hierarchy if applicable, what you love about them, any behavior challenges

How does your current dog(s) behave around other dogs? (select all that apply: Friendly, Reserved, Outgoing, Unsure, Dominant, Submissive, Playful, Laid back, Confident, Nervous)

Are they spayed and/or neutered?

Are they fully up to date on vaccinations?

Where, what, and how are they fed?

Describe monthly and annual health care

If you have other pets, how will you introduce the new dog into your home? Do you have rooms to separate them if needed?

If you've had a dog(s) in the past, describe name(s), breed(s), size(s), gender(s), pack hierarchy, how long you had them, what happened to them

Do you have cats, other pets, or livestock? Number, type, indoor/outdoor, spayed/neutered, vaccination status

Have you ever sold, surrendered, or given away a pet? If yes, explain the reason

What do you consider a good and valid reason for giving up a pet?

Why do you want to adopt this particular dog?

Have you applied to any other rescue or humane organization? Currently have an application processing?

Have you ever adopted from a rescue or humane organization in the past? Which one, what were the circumstances?

Describe in detail how you plan to exercise the dog

How much exercise can you commit to daily (30-45 mins / 1 hour / 1.5 hours / 2 hours / however much is needed)

Are you looking for a dog that can be exercised off leash in non-contained areas?

Describe how you plan to train this dog (leash walking, indoor/outdoor manners, socializing with other dogs and people, off-leash recall)

If necessary, are you willing to enroll the dog in a reputable obedience program?

How often do you plan to visit the vet, and how much are you willing to spend on care?

How do you plan to groom the dog?

What steps are you willing to take to help the dog adapt and thrive in a new environment?

Are you willing to be patient while the dog adjusts to their new home?

How long do you feel an animal should be given for an adjustment period?

Are you willing to work on adjustment issues should they arise?

Do you understand and accept that a change in environment may cause indoor accidents, especially early on?

If a behavioral issue arises, what steps will you take to work on it?

1st Reference (First Name, Last Name, Phone Number)

2nd Reference (First Name, Last Name, Phone Number)

Veterinary reference: clinic name, phone, address for past/current animals or where you plan to take the dog. Note: you must give the vet permission to speak with us, or the application won't be processed

The average dog lives 12-15 years. Are you willing to commit emotionally and financially for the dog's life?

If unable to keep the dog for any reason, do you agree to notify Coastal K9 immediately?

Do you agree to abstain from tethering the dog without direct supervision for its life?

Do you agree to register for training, provide progress reports, and assume associated costs?

Do you accept that Coastal K9 makes no guarantees on health or temperament, and the adopter assumes all responsibility?

Are you willing to allow in-home checks, follow-up calls, and pre-adoption verification?

Have you ever been convicted of or investigated for animal abuse, neglect, or fined under the Provincial Dog Act or Municipal Animal Control By-Laws?

Have you had an adoption application turned down by another organization before? If yes, explain

If long distance adoption and you're unable to keep the pet, are you willing to assume responsibility (including travel/financial) to return the pet or board it safely?

If municipal bylaws require licensing, do you agree to license the dog and have it wear a tag at all times?

Do you have any affiliation with another rescue or humane organization?

Please list any concerns, comments, or final questions

Signature

Date

Opt-In

I certify to the best of my knowledge, the information provided in this application is true as of the date of this application. I agree that submission of this form will constitute a legally signed document. by submitting this application, you agree to give Coastal K9 and/or any representative acting its behalf, permission to fully investigate the information provided as well as permission to contact any veterinarians and/or other officials and/or organizations and/or references given on this application as it relates to pet ownership.

Adopt a dog today!

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1934 Caledonia Marydale Rd, Saint Andrews, Nova Scotia, CA

902 318 8985