Dog Application Form Page 2
ADVERTISEMENT
1
2
3q
q
13)
It is the policy of the Hay River SPCA to spay/neuter all pets.
Are you willing to spay/neuter the dog if not already done?
Yes
No
14) Please indicate the importance of the following with respects to a new dog:
Very Important
Important
Not Important
q
q
q
Friendly with children
q
q
q
Friendly with other dogs
q
q
q
Friendly with cats
q
q
q
Friendly with visitors to the home
q
q
q
Enjoy being groomed
q
q
q
Enjoy being held
q
q
q
Enjoy being petted
q
q
q
Calm
q
q
q
Active
q
q
q
Playful
q
q
q
Independent
q
q
q
Quiet
FAMILY
1) Number of adults (18 or over) at home? _________________ Ages __________________________________________________
2) Number of children at home?__________ Ages _________________________________________________________________
q
q
q
3) Any pet allergies in your family?
Yes
No
Not sure
Please give further details if you answered Yes or Not Sure: _________________________________________________________
q
q
q
4) If you are away from home for an extended period, where will your dog stay?
At home with care
Boarding
Other
If Other, please state where: __________________________________________________________________________________
5) How long will your dog be alone during the day? Weekdays _______________________ Weekend ___________________________
6) What would you do with your dog if you moved and/or changed jobs? _________________________________________________
_______________________________________________________________________________________________________
q
q
7) Do you currently have other dogs?
Yes
No If yes, how many? ________________________________________________
Please give ages, sex & breed _________________________________________________________________________________
q
q
q
Have they ever lived with another dog?
Yes
No
Not Known
q
q
8) Have you had dogs before?
Yes
No If yes, please specify
NAME
SEX
AGE
YR OF DEATH
CAUSE OF DEATH or IF STILL LIVING WHERE NOW?
q
q
9) Have you ever adopted a pet from the Hay River SPCA or another organization?
Yes
No When? _______________________
If yes, please give details: ___________________________________________________________________________________
q
q
q
10) Re: your past or current dogs, are/were they:
Indoors only
Outdoors only
In/Out
q
q
11) Re: your past dogs, are/were they spayed or neutered?
Yes
No If no, please give reason: ___________________________
_______________________________________________________________________________________________________
q
q
12) Do you have other pets?
Yes
No How many? __________ Cats __________ Birds __________Other
q
q
13) Do you have a veterinarian?
Yes Name: ________________________________
No (If No, we can assist you in getting one)
14) Under what conditions would you give up a dog? Please any that apply.
q
q
q
q
q
q
I would not consider giving up a dog
Moving
Too Costly
New Baby
Aggression
Sick Dog
q
q
q
q
q
Not enough time
Allergies
Change of Job
Behavioral problems
Other__________________________
__________________________________________________________________________________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal