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Pet Adoption Request

Adopting a cat or dog may be a more involved process than you expected. You cannot have immediate access to the animal you are interested in. Everything we do is in the best interest of the animal in our care and is aimed at giving them the best possible chance of finding a permanent home. It is important you understand two things:

• The process is the same for everyone.
• It is not our intention to frustrate you.

After completing this adoption application, there is a waiting period which allows us the necessary time to check your references/landlord approval, and review application.

The Brooks Animal Protection Society reserves the right to refuse any adoption which it feels is not in the animal’s best interest. It is stressful and upsetting for the animals, our staff, and you when adoptions do not work out and the pets have to come back to us. So bear with us, be patient and understand that this process is the best policy…for all of us!

In order to be considered for an adoption you must:
• Be 18 years or older
• Have a valid ID with current address

Pet Requesting:

What type of animal?

Dog Cat Rabbit

Date

Name:

Home Phone:

Work or Cell #:

Physical and/or Mailing Address:

Postal Code:

City/Town:

Province:

Email

How long at current address?

Do you live in a:

Do you:

Own Rent

Are you:

Student Working Retired Other

Landlord's Name:

Landlord's Phone #:

Landlord's Alternate #:

Number of Adults in the House:

Number of Children in the House

Ages of the Children

Are all the household members aware and do they consent to the adoption?

Yes No

Please describe in detail the personality and basic requirements of the animal you are looking for:

Who will be responsible for feeding and training your pet?

Is anyone in your house allergic to pets?

Yes No

Why are you getting a pet?

Companion For a child Hunting Other

Have you ever owned a pet?

Yes No

How many pets have you had in the last five years?

Have you ever had to re-home or surrender a pet to a shelter?

Yes No

Please list the animals currently in your home and tells us a little about their personalities.

Name

Breed

Age

Sex

Male Female

Sex

Altered Unaltered

Personality:

Name

Breed

Age

Sex

Male Female

Sex

Altered Unaltered

Personality

Name

Breed

Age

Sex

Male Female

Sex

Altered Unaltered

Personality

Name

Breed

Age

Sex

Male Female

Sex

Altered Unaltered

Personality

What happened to the pets you no longer have?

What is the name of your Veterinarian?

Are/Were your pet's vaccinations current?

Yes No

Are/Were your pets licensed?

Yes No

Are you prepared for the expense of owning a pet? (Average $1,500/year for dogs and $1000/year for cats.)

Yes No

Are you willing to accept the financial responsibility of unexpected/required medical expenses?

Yes No

Are you prepared to allow an adjustment period of at least one month?

Yes No

If you have any other pets will they adjust to a new one?

Yes No

Are you aware of the existing licensing/pet bylaws in your community?

Yes No

What is your current occupation?

Does your job require extensive travel?

Yes No

Will someone be home during the day with your pet?

Yes No

Where will your pet be kept during the day?

Where will your pet be kept during the night?

How many hours a day will the pet be alone?

Where will the pet be while kept alone?

Who will watch the pet when you are away on vacation?

How active do you want your pet to be?

High energy/active Medium energy Low energy

How much grooming are you prepared to do?

Very little Reasonable Demanding Very High Maintenance

How will you handle behaviour problems such as: chewing, climbing, scratching furniture, excessive barking?

If the animal you want is unavailable or not the right fit, are you open to suggestions for a different pet?

Yes No

FOR DOG ADOPTEES ONLY - Why have you chosen this particular dog?

Do you have a fully fenced yard?

Yes No

How tall is your fence?

What is your fence made of?

Are there times when the dog will be tied up?

Yes No

Do you have a dog house?

Yes No

Where will the dog be when in a vehicle with you?

Would you consider obedience classes for this dog?

Yes No

How much time a day will you spend exercising your dog?

Type of exercise?

FOR CAT ADOPTEES ONLY - Why have you chosen this particular cat?

Under what circumstances would you de-claw your cat?

How will you keep your cat active?

Do you plan to let your cat outside?

Yes No

Do you have screens on all your windows?

Yes No

FOR ALL APPLICANTS: Please provide 3 references (only 1 being a relative). We'd like their name and 2 phone numbers for each.

By choosing "I AGREE" below, I certify that the information I have given is true and complete and that any misrepresentation of facts may result in losing the privilege of adopting a pet. I understand that Brooks Animal Protection Society has the right to deny my request to adopt an animal, and I authorize investigation of all statements in this application. I agree to provide the pet with adequate food, water, shelter, safety, affection and medical care. I understand that BAPS can phone or visit me to see how the pet is progressing. If for any reason this pet does not work out in my home, I agree not to release it to anyone, but will return it to BAPS. The adopter will receive a refund (minus a $25.00 administration fee) if the pet is returned within 30 days. The personal information collected by The Brooks Animal Protection Society will not be disclosed to any other organizations or individuals unless authorized by law or by consent of the individual.

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Pet Adoption Request