Application to Adopt a Dog

To be considered for an adoption, you must:

be 18 years of age;
have the knowledge and consent of all adults living in your household;
provide valid identification with your current address; and
provide the name and phone number of your landlord/superintendent/management company in a condo or rental situation.

The information provided below will help us find the best match for you and your family.

Name

Phone Number

Work Phone Number

Address

City

Postal Code

Email Address

Employment status. Please check all that apply.

Attending School

Working

Retired

Other

Living Arrangements

Please select the option that best describes your living arrangements.

Detached house

Townhouse

Shared Accommodation

Semi-detached house

Apartment

Condominium

Check the box that best describes your living situation.

Living with your parents

Own your home

Renting

How long have you lived at your current address?

How many adults live in your household?

Please enter the number of children in your household and their ages.

Which member of your household will be primarily responsible for the following:

Feeding the new pet:

Training the new pet:

Making sure the new pet gets exercise:

Does anyone in your home have an allergy to pets?

Yes

No

Have you owned a pet in the past five years?

Yes

No

How often are you willing to take your pet to the veterinarian?

Once a year

As needed

How much do you expect that you will spend yearly to feed, vaccinate, license, and provide medical care for your pet?

What will you do with your pet if you go on vacation?

What will you do with your pet if you move?

Describe your home atmosphere.

Very busy

Some activity

Very quiet

Do you plan to spay or neuter your pet?

Yes

No

What is your level of dog experience?

First-time owner

Have had one or more dogs

Knowledgeable and experienced

Are any members of your family uncomfortable with dogs?

Yes

No

How long will the dog be alone each day?

Not at all

Four to six hours

Eight or more hours

Where will the dog stay when you're not at home?

Do you have a fenced yard?

Yes

No

Describe your ideal dog.

Size

Small (Up to 20 lbs)

Medium (21 to 50 lbs)

Large (51 to 100 lbs)

Giant (Over 101 lbs)

Coat

Short

Medium

Long

No preference

Age

Two to four months

Four to 12 months

One to three years

More than three years

No preference

Training level

House trained

Some obedience training

Fully trained

No training

Activity Level

Low

Medium

High

Sex

Male

Female

No preference

Breed or preferred type:

Animal ID# (Find the animal ID on our adoption page)

Do you plan on taking training classes?

Yes

No

Are you prepared for an adjustment period of at least two weeks? Adjustment issues may include barking, house-soiling, chewing, running away and conflict with other animals.

Yes

No

I certify that the information I have given is true and that any misrepresentation of facts may result in my losing the privilege of adopting a pet. I understand that the Municipality of Clarington has the right to deny my request to adopt an animal. I authorize the investigation of all statements in this application. I understand that this application is the property of the Municipality of Clarington.

Signature:

Clear

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Application to Adopt a Dog

Living Arrangements