Dog Adoption Form

Please read each question carefully, and answer as completely and honestly as you can. Completion of these questions in full will enable Animatch to make the best possible match between each dog and guardian.

Name * First Last
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Email Address *
Home Phone * - (###) - ### ####
Cell Phone - (###) - ### ####
References
Reference Name *

Please enter the name of a friend or other reference OTHER than a relative.
Reference Phone Number * - (###) - ### ####
Please enter the main phone number of that friend or relative.
Veterinarian Name

If you already visit a veterinarian, please provide the name of that veterinarian.
Veterinarian Phone Number - (###) - ### ####
Please provide the name of the veterinarian above.
Animal you presently have at home

If you have no animal at home, skip to next section.
Type of Animal

Dog, cat, bird, etc. ?
Breed/Mix

Separate each breed with a comma.
Age(s)

Type down an average (ex: 2-4 years old)
Sterilized? Yes No
Provide details of the dog(s) you have had in the past

If you never had a dog in the past, skip to next section.
Breed/Mix

Seperate each breed with comma.
What happened to the dog(s)?
How long ago?
What type of dog are you inquiring about?

Tell us about the type of dog you are interested in adopting.
Breed/Mix *

If no breed in particular write: None in particular. You can type multiple breeds by separating them with comma.
Colour *

If no color in particular write: None in particular. Separate each color with comma.
Age * Puppy 1-3 years old 4-7 years old 8 and up No Preference
Fur Type * Short Medium Long Non-Shedding No Preference
Size (weight) * 1-20 lbs 21-50 lbs 51-90 lbs 90+ lbs No Preference
Activity Level * Low Energy Medium Energy High Energy No Preference
Gender * Male Female No Preference
Names of the Animatch Available Adoptee dog(s) you might be intrested into *

Seperate each name with comma. If no dog in particular write: None in particular.
If you are intrested in a specific breed, have you researched this breed? * Yes No
Tell us about yourself and your experience with dogs
1) What kind of residence do you live in? * House Apartment Condo Townhouse Farm Live with Parents Other
1b) If you rent or live in a condo, does your Landlord/Condo Association consent to your having a dog? * Yes No Not applicable
2) How many adults live in your residence? *
2b) How many children live in your home? *
2c) If you have child/childrens, what are their ages?
2d) Are you planning on having child/children within the next 5 years? Yes No
3) Do you have friends/family with children under 6 who visit? * Yes No
3b) If Yes, How old is/are the child/children who visit?
4) Does anyone in your home have allergies to dogs or cats? * Yes No (Skip to question 5)
4b) If Yes, Is this person allergic to dogs or cats? Dogs Cats
5) Do you have a fully enclosed fenced yard? * Yes No
5b) If No, do you plan on installing a fence? Yes No
6) How many hours a day will the dog be left alone? * 0-2 3-5 6-7 8-10 10+
6b) If you are gone more than 5 hours, will you: Return home part way through day Hire a dog walker Leave dog alone all day
7) Where will the dog be when alone? * Loose in house Crate/Cage Room/Penned Area Garage Outside/Dog House
8) How and where will you have the dog exercise? * Backyard Public Park/Dog Park Walk Running/Biking/Dog Sports Other
9) How much time per day do you intend to exercise your dog? *
10) Where would you teach your dog to go to the toilet? * Backyard/Walks Paper/Litter Other
11) Are you prepared to work with a dog that might require some level of toilet training? * Yes No
12) Are you familiar with Crate/Cage Training? * Yes No
12b) Will you use this method? * Yes No I don't know
13) How would you deal with issues such as dominance, digging, chewing, or separation anxiety? Please explain... *
14) Have you ever given up a dog or cat to a shelter, pound, or rescue group? * Yes No (Skip to question 15)
14b) If yes, provide the circumstances which forced you to do so:
15) Do you understand that you must work with your pet(s) and a new dog to make an addition work? * Yes No
16) Have you ever taken a Basic Dog Obedience Course? * Yes No
16b) Will you be attending Basic Dog Obedience Course with this Dog? * Yes No Maybe
Where did you hear about Animatch?
Please specify where you head about us (if TV/Radio Show or Other)
Type the letters you see in the image below.

Dog Adoption Form

Dog Adoption Form

References

Animal you presently have at home

Provide details of the dog(s) you have had in the past

What type of dog are you inquiring about?

Tell us about yourself and your experience with dogs