Alberta Pound and Rescue Centre

Dog Adoption Questionnaire

Please complete to the best of your ability.

Name *
Birth Date
Birth Date
Your family
Are you planning on the following in the following month?
Select all that apply
Your home
If renting, please be prepared to provide landlord contact information at the time of adoption.
Where will your dog stay during the day?
Where will your dog stay during the night?
General info
Your pets
Include species, breed, age, sex, and if intact or not.
Problems you are willing to work on
Under what circumstances would you relinquish your dog?
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.
Thank you for completing this questionnaire. Your privacy is important to us, we will not distribute any information to anyone outside the organization for any reason.