Adoption Application

Who are you interested in?

Please select which dog you are interested in: *

About You

Applicant #1 Name *

First

Last

Applicant #1 Occupation *

Applicant #1 Age *

Applicant #2 Name (if no second applicant, type N/A) *

First

Last

Applicant #2 Occupation (if no second applicant, type N/A) *

Applicant #2 Age (if no second applicant, type N/A) *

Preferred number for phone screening *

Preferred email for communication *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

About Your Home

Number of adults living in your home *

Number of children living in your home *

Ages of children *

Are any members of your family/household allergic to dogs? *

How would you describe the activity level of your household? *

Low - Occasional or daily walks 30 minutes or less, few visitors, rare out of home activities, rare dog friendly activities
Medium - Daily walks 30 - 60 minutes, weekly visitors, 1-2 weekly out of home activities, occasional dog-friendly activities
High - Daily walks 60+ minutes or regular running, daily visitors, out of home activities 3+ days per week, regular dog-friendly activities

Type of Home *

If living in a townhouse or condominium, are you able to provide written proof that the condominium bylaws permit pets in your home? *

Condo Bylaws *

Click or drag a file to this area to upload.

Upload your condo bylaws or condo board approval letter here.

Length of time at current residence *

For example, 2 years.

Do you own or rent? *

Own
Rent

If renting, are you able to provide written proof that you have the consent of your landlord to bring a dog into your home? *

Landlord Approval Letter *

Click or drag a file to this area to upload.

Upload your landlord letter approving a dog with no size or breed limitations.

Is your yard securely fenced? *

How tall is the fencing? *

What material is the fence? *

About Your Future Dog

Why are you adopting? *

What type of dog are you looking for? *

Age *

Size *

Breed *

Other considerations?

About Your Pet Experience

Have you owned pets before? *

What type, how long ago, and what happened? *

Do you currently have any dogs at home? *

How many dogs, what breed, and age? *

Do your current dogs have any behavioural or medical issues? *

Do you have any other animals at home? *

What type of animal? *

Are all resident animals spayed/neutered and up-to-date on their vaccinations? *

If no, please explain: *

Do you have a current veterinarian? *

What is their name and clinic? *

Have you ever surrendered, returned, or rehomed an animal? *

Describe the Circumstances *

Additional Information

I have reviewed hart's adoption guidelines and adoption process (available on website) *

Note: You must review both before continuing

How did you hear about hart? *

If other, please describe:

Additional Comments

Are you ready to adopt?