709.739.0077
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Dog Adoption Form
Dog Adoption Application
Heavenly Creatures, Inc. P.O. Box 882, Station C, St. John's, NL, A1C 1C4 709.739.0077
Please read through all of our adoption policies and procedures before completing this application. To submit the application, simply attach it to an e-mail and send it to us at info@heavenlycreatures.ca
Please make sure to fill out the entire application, as incomplete applications will not be considered.
To qualify for adoption, the following criteria must be met:
- All sections of the form must be completed.
- This form must be filled out by the person adopting the animal. We do not give animals out as gifts to other adults.
- The adopter must be a minimum of 21 years of age.
- All adult members of the household must agree to take part in the interview process and further agree to all term and conditions regarding adoption of this animal.
There are fees associated with adopting a pet from Heavenly Creatures. These fees help us continue to provide proper care for our animals, and they enable us to save more homeless animals. Our fees are as follows:
$100 - puppy/unfixed dog
$195 - spayed/neutered dog
** Please be advised that we are a volunteer organization that receives numerous applications for adoption, so it may take 24 - 72 hours for a response.
Date of Application
*
MM slash DD slash YYYY
Is there a specific dog from our website who are you interested in meeting (If Yes, who has caught your attention)?
If No, what characteristics are you looking for in a new pet:
Do you have an age requirement (e.g. no older than 5)?
Do you have a gender preference?
Do you have any breed likes or dislikes (e.g. “I would like a Terrier mix” or “I don’t like Rottweiler mixes”)?
If you are looking for a purebred, please list the breed.
Would you accept a dog that requires regular grooming?
Yes
No
Would you accept a dog that has been abused?
Yes
No
Do you require a dog that is friendly with children?
Yes
No
Do you require a dog that is friendly with other dogs?
Yes
No
Do you require a dog that is friendly with cats?
Yes
No
Do you need a dog who is good off leash (will stay close to your cabin or be a good off leash hiking companion)?
Yes
No
Do you require a dog that is good in the car?
Yes
No
Would you accept a dog that has a physical handicap (e.g. an amputation)?
Yes
No
Would you accept a dog that requires regular medical treatment for a disorder or disease (e.g. diabetes)?
Yes
No
What size would you consider adopting?
Select All
Toy size: up to 20 pounds (E.g. Chiahuahuas, Toy Poodles, Pugs)
Small: 20-35 pounds (E.g. size of Beagles, Cocker Spaniels, most Terriers)
Medium: 30-50 pounds (E.g. size of Border Collies)
Large: 50-75 pounds (E.g. Labrador Retrievers, and Setters)
Extra Large: 75 pounds and over (Akitas, Mastiffs, and Great Danes)
Why are you looking for a new pet (please check all that apply):
Select All
I am seeking companionship for myself/my family
I am seeking companionship for an existing animal
I am seeking a guard dog
I need a gift for a family member/friend
I want to teach my child responsibility
Name of Adoptive Family Applicants(s):
Please note how many members are in your household and what their ages are (please include the ages of any children living in the home).
Do you have consent from all household members to adopt a pet?
Yes
No
Home Tel:
Cell Tel:
Email:
Best time to call?
Full address:
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Driver’s License #:
Driver’s License Expiry:
Address on license:
How long have you lived at this address?
Do you own your home?
Yes
No
If renting, we will require your landlord’s permission. Contact name + Tel #:
Second Piece of ID:
Please check all that apply:
Work outside the home
Work at home
Attend school
Retired
Other
Place of Employment (if working outside the home):
Work Tel:
If unemployed, list your source(s) of income:
Have you or any other person living in your household ever been convicted of cruelty to or neglect of animals or had an animal confiscated under an adoption contract?
Yes
No
Do you own other pets?
Yes
No
If so, describe (type, breed):
Is your pet(s) spayed or neutered?
Yes
No
If no, explain why:
Do your pets live indoors, outdoors or both? Please explain.
If you do not currently own any pets but have in the past, please describe your pet history:
How many hours per day will the dog be left alone (without human companionship)?
Please enter a number from
0
to
24
.
Where in the house will the dog be kept during the day while you are at work? Please check all that apply:
In the house in a crate/kennel
Outside in a fenced garden (or dog run)
Tethered outside
At a friend’s or relatives’ home
Home alone with free run of the house
Sectioned off in part of the house
Doggy Day Care
Where will the dog sleep?
For what reason(s) would you give up a pet (Please describe all that apply: for example, allergies, not getting along with other pets, divorce, not housebroken, moving, aggression, new baby, increased work hours, etc.)?
For what reasons would you euthanize a pet; please list all that apply (broken limb, fleas, not housebroken, moving, children, aggression toward people, aggression toward other animals, allergies, destructive behaviors (e.g. scratching furniture), ear infections and skin conditions, etc.)?
Are you prepared to allow at least one full month for your dog to become adjusted to its new home?
Yes
No
How much do you expect to have to spend on food and veterinary care per year?
If you intend to board or kennel your dog, what do you feel will be the cost of this service?
Please describe your lifestyle. Is it active (e.g., hiking, camping, in or out a lot) or is it more relaxed?
Different dogs have different exercise requirements. How often/much time can you realistically commit to walking a dog?
Once or twice daily for an hour or more per day
A few times weekly
I need a dog who is mostly content to run around/play in my garden for exercise
I need a dog who is mostly content to being exercised at the dog park
Do you have a securely fenced yard? If so, please note the height. (Please Note: a fenced yard is not always required)
Which of the following behavioral issues are you willing to work on with your new pet?
Select All
Barking
House training
Dominant behavior
Separation anxiety
Walking on a leash
Submissive behavior
Jumping on people
Chewing
Agression toward other dogs
Some of our rescued dogs have had little or no training. Are you willing to take your dog to a professional trainer?
Yes
No
Are you willing to consider crating (aka kenneling) your dog while you are out if destructive behavior surfaces?
Yes
No
Who is (or will be) your veterinarian (please include clinic)?
Will you grant permission for Heavenly Creatures to contact your veterinarian for a reference?
Yes
No
Please provide Heavenly Creatures with the names and contact information of two references (who are not family members or your vet and who are not related to one another) who can attest to your ability to love and care for a pet.
Please Note: We do not have a shelter; all of our animals are housed in foster homes. If you are approved for a dog, a time will be scheduled when you can meet the dog in the foster parents' home or we will bring the dog to your home for a visit. If this Application is satisfactory to Heavenly Creatures: 1. A volunteer will contact you to commence the interview process (which begins with a phone screening of all adults in the home). A second volunteer may do a second phone screening with you within 24 hours or so. 2. If all goes well, you will be given an appointment to meet a dog or dogs, if there are any in our care who you are interested in that we agree might be a good match. 3. If the meeting goes well, you can take the dog then and there for a trial adoption under a foster agreement (A trial of a week, or sometimes more, allows all involved to attempt to ensure that this is the right match). 3. A volunteer will do a home visit after the trial period (and sometimes before), at which time – if the dog is deemed by us to appear happy and healthy-you will pay the adoption fee and sign our adoption agreement. Heavenly Creatures attempts to match each animal to a family that most suits the needs of that animal. We sometimes receive numerous applications for one particular animal, so if you are not selected we will keep you on file in the event another, similar animal becomes available.
DECLARATION: I certify that the information I have given is true and that any misrepresentations of facts may result in the Adopter(s) losing the privilege of adopting a pet from Heavenly Creatures Inc., the voiding of the adoption contract and entitlement of Heavenly Creatures Inc. to legal remedies, including reclaiming the animal and/or damages. The confidentiality and privacy of your personal information found within this application form are assured. Please sign below as proof that you have read and accept the above statements.
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