Adoption Application

* denotes a required field

*Name:
*Email address:
*Address:
*City:
*Province:
*Home phone:
Work phone:
*Age:
*Who will be the primary foster care provider:
*How long will the dog(s) be without human companionship on a daily basis:
*Where will the dog(s) be kept during the day:
*Where will the dog(s) be kept during the night:
*What type of dwelling do you live in:
*Do you own or rent your dwelling:
--------------------------------------------RENTERS please provide the following information:--------------------------------------------
Landlord’s name:
Landlord’s phone number:
Does your landlord allow pets:
Amount of deposit required:
Amount of monthly rental increase:
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*Do you have a fenced yard:
If yes, please describe height, material etc:
*Number of adults in your household:
*Number of children in your household:
*Ages of household members:
*Are all members of your family aware of your decision to foster:
*Please describe the dog experience the members of your household have:
*Do you have specific experience with huskies, please describe
*Is anyone in your family allergic to animals, please describe
*Would you be willing to allow a representative from our organization to visit your home prior to begining to foster:
Please list the pets you currently own:
Name: Age:
Gender: Breed:
Spayed/Neutered:    

Where is this pet kept during the day and night:

Name: Age:
Gender: Breed:
Spayed/Neutered:    

Where was this pet kept during the day and night:

Name: Age:
Gender: Breed:
Spayed/Neutered:    

Where is this pet kept during the day and night:

(please add additional pets to the “Additional Information” section of the application)
Name of vet for above animals:
Phone number of vet for above animals:
If you currently own other pets are they up to date with their vaccinations:
If you currently own other dogs are they on heartworm prevention:
*How many dogs do you feel you can foster at one time (1 is perfectly acceptable):
Are you able to foster special needs dogs who may require special medical treatment (costs paid for my SRO):
Are you able to foster a dog that may have been abused and requires extra support:
Are you able to foster a senior dog:
Are you able to foster a puppy or puppies:

Is there any additional information you would like to share with us?