Dog Adoption Application

YOUR FAMILY:

I am adopting this dog for:

Number of adults (18+) at home:

Number of children (0-7 years) at home:

Any visiting children:
yesno

Any allergies in the family:
yesno

How busy is your family schedule:
—Please choose an option—Very BusyBusyNot Busy

How would you describe yourself:
—Please choose an option—NervousLoudCalm/Quiet

What is your skill level with dogs:
—Please choose an option—ExperiencedNoviceBeginner

Are you planning on the following in the next month? Moving/Holiday/ Change in Schedule:
yesno

Where will your dog stay during holidays

Name of the animal you're interested in

YOUR HOME:

Who will have the primary responsibility for this dog:

Have you had dogs before:
yesno
What happened to them:

Have you surrendered or given away a pet:
yesno

If yes, please provide the reason:

How many hours of exercise can you give your dog on weekdays:

How many hours of exercise can you give your dog on weekends:

What would you enjoy doing with your dog:
On-leash walkingOff-leash walkingOff-leash parksJoggingDo you have a fully fenced/secure yard

Approximately how much do you think your dog will cost you per year($):

Vet/medical food:

Boarding:

Grooming:

OTHER PETS:

Are there other dogs in your household:
YesNo

if yes please list their Name, Breed, Age, Sex, and if they are Fixed:

Do you have other pets in your household:
YesNo

if yes please list their Name, Type, Age, Sex, and if they are Fixed:

Please provide the name and phone number of your vet:

What type of food do your pets eat:

GENERAL INFORMATION:

What type of home do you live in:
AcreageHouseApartment

Do you own or rent:
OwnRent

Do you have your landlord’s/strata’s permission to have pets:
YesNo

Please provide us with contact information for your landlord:

On average, how many hours will your dog be alone on weekdays:

On average, how many hours will your dog be alone on weekends:

Where will your dog stay during the day:
—Please choose an option—Loose in the houseCratedinside GarageFenced kennel/runFenced yardLoose outsideOther

Where will your dog stay during the night:
—Please choose an option—Loose in the houseCratedinside GarageFenced kennel/runFenced yardLoose outsideOther

Under what circumstances would you return your dog:
MovingToo costlyNew babyAggressionMedical reasonsNot enough timeBehaviour problem

Have you ever been convicted of neglect or cruelty to animals:
YesNo
Are you willing to have a UDR representative do a home visit by appointment:
YesNo
If not, why:

Please provide the name and contact number for one personal reference:


Relationship to you:

FALSIFIED INFORMATION WILL LEAD TO AUTOMATIC REJECTION OF THE APPLICATION. THE UDR RESERVES THE RIGHT TO REFUSE ANY APPLICANT.

I understand that it is my responsibility to see and evaluate the dog for myself before agreeing to adoption. The adoption of a lifelong animal friend should not be impulsive, but rather a carefully thought out decision, which will ensure a loving, lasting relationship.