Adoption Form – Underdog Railroad Canada

Full Name

Address *

City *

Postal Code *

Phone (Home)

Phone (Cell)

Birthday

Your Family

Who are you adopting this pet for?

Myself

Other

What is your skill level with dogs?

Experienced

Novice

Beginner

Where will your dog stay during the holidays?

At home with care

Boarding

Other (please describe)

Number of Adults at home? (18+ years)

Number of Children at home? (0-7 years)

Number of Children at home? (8-17 years)

Any visiting children?

Yes

No

How busy is your family's schedule?

Very busy

Busy

Not Busy

Any allergies in the family?

Yes

No

How would you describe yourself?

Nervous

Loud

Calm/Quiet

Are you planning on the following in the next month?

Your Home

Who will have the primary responsibility for this dog?

Have you had dogs before?

Yes

No

What happened to them?

Have you surrendered or given away a pet?

Yes

No

IF yes, please provide the reason

How many hours of exercise can you give your dog?

What would you enjoy doing with your dog?

On-leash walking

Off-leash walking

Off-leash park

Jogging

Do you have a fully fenced/secure yard?

Approximately how much do you think your dog will cost you per year?

Other Pets

Are there other dogs in your household?

Yes

No

If yes, please list them:

Please provide the name and phone number of your vet:

What type of food do your pets eat?

General Information

What type of home do you live in?

Acreage

House

Apartment

Do you:

Own

Rent

Do you have your landlord’s/strata’s permission to have pets?

Yes

No

Please provide us with contact information for your landlord:

On average, how many hrs will your dog be alone on:

Have you ever been convicted of neglect or cruelty to animals?

Yes

No

Are you willing to have an Underdog Railroad representative do a home visit by appointment?

Yes

No

If not, why?

Please provide the name and contact number for one personal reference:

Relationship to you

FALSIFIED INFORMATION WILL LEAD TO AUTOMATIC REJECTION OF THE APPLICATION. THE UNDERDOG RAILROAD RESERVES THE RIGHT TO REFUSE ANY APPLICANT.

I understand that it is my responsibility to see and evaluate the dog for myself before agreeing to adoption. The adoption of a lifelong animal friend should not be impulsive, but rather a carefully thought out decision, which will ensure a loving, lasting relationship.

Signature *

Date *

Please be human!