DCAS - Delta Community Animal Shelter

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Dog Adoption Application

Many factors go into finding a suitable dog for your home. This application gives DCAS staff an opportunity to ensure you are matched appropriately with an animal that will make you happy for a lifetime. Not only is it important for you to feel like you have found the "right dog" but it is also important for the dogs - to ensure they have found a "forever home".

Personal information submitted through this form is protected under the Freedom of Information and Privacy Act and will be used only for its intended purpose.

Your Contact Information

First Name: (required)

Last Name: (required)

Street Address & Unit #: (required)

City: (required)

Phone Number - Home: (required)

Phone Number - Cell:

Phone Number - Work:

Email Address: (required)

I would like to be made aware by email of upcoming fundraisers or shelter events: (required)

Yes No

Animal Information

Dog of Interest: (required)

DCAS Animal ID #:

How much time and thought have you put into welcoming a new pet into your home? (ie. reading; research; length of time spent looking for a dog, etc) (required)

What do you feel are the most important responsibilities in owning a dog? (required)

Household

Whom are you adopting this pet for? (required)

Who will be the primary care giver for this animal? (required)

How much time do you plan to spend with your new pet per day? (required)

Have all family members been introduced to the dog you wish to adopt? (required)

Yes No

Are any family members allergic to dogs? (required)

Yes No

How many adults are in your household? (required)

Do you have any children and what ages? (required)

NOTE: Not all dogs are suitable for homes with children. If a dog has an unknown history with children the dog may not be placed with children under the age of 13.

Do your children have experience with dogs similar to the one you are interested in? (required)

Yes No

Other Animals

Do you have other pets? (required)

Yes No

Are they spayed/neutered?

Yes No

Are their vaccinations up to date?

Yes No

Have your other animals ever been socialized to a dog similar to the one you are interested in?

Yes No

NOTE: If you have other animals in your home we strongly suggest your animals be current on vaccinations and that you consult with your veterinarian to ensure it is safe to bring another animal into your home (for both your new dog and your current pets).

Please list the current pets in your household:

Animal 1:

Name:

Breed (if any):

Sex:

Male Female Unknown

Animal 2:

Name:

Breed (if any):

Sex:

Male Female Unknown

Animal 3:

Name:

Breed (if any):

Sex:

Male Female Unknown

Animal 4:

Name:

Breed (if any):

Sex:

Male Female Unknown

Do you have a veterinarian? (required)

Yes No

List your veterinarians name or veterinary hospital:

Can we contact them regarding the care of your pets? (required)

Yes No

Owning a Pet

What do you think are some of the financial responsibilities that come with owning a dog? (required)

For what reason are you wanting to adopt a dog? (required)

Companion Guard/Yard dog Hunting For the children Gift Other

NOTE: DCAS staff are very knowledgeable about each dog's personality and lifestyle needs. We will let you know if a dog meets your particular "reason". Not all dogs will meet your lifestyle and if there is not a match we may decline your application for the specific dog. (A decline of your application is not a reflection of your ability to care for the dog).

Do you have experience with this dog's breed? (required)

Yes No

If yes, please provide the details: (required)

Where will your dog live? (required)

Indoors Always Indoors at Night Outdoors Always Outdoors at Night

NOTE: DCAS encourages all adopters to welcome their new dog into their home. Dogs are social creatures and being isolated from the family, or caregiver, can cause a lot of stress and anxiety. This stress can cause a dog to "act out" by barking, having destructive behaviour such as digging, and escaping from the yard. Barking and dogs running loose are against the local by-law and can be an expensive problem.

Will you consider keeping your dog as an inside/family dog? (required)

Yes No

If you plan to have your dog live outside what type of shelter and security will you provide for the dog?

Where will your dog be when you are at work? (required)

Where will your dog sleep at night?

Living Space

Do you own or rent your home? (required)

Own Rent

NOTE: Hundreds of animals each year are surrendered to the shelter because a landlord or strata did not authorize pets in their unit. To prevent animals being returned for this reason we will only adopt to renters who have approval from their landlord and owners who have approval from their strata.

Landlord/Strata Name Phone Number

What type of housing do you reside in? (required)

House Apartment Trailer Condo Other:

Do you have a fence? (required)

Yes No

NOTE: Please be advised that a visit from a DCAS staff member may be required prior to approving your application. This is to assist you in ensuring your home is ready for your new dog.

Would you be willing to allow a DCAS staff member attend your home by appointment? (required)

Yes No

Other

How much daily exercise (and what type) do you plan to provide to this dog?

Please select any of the following activities you plan to participate in with your dog:

Dog Obedience Classes Agility Hunting Therapy Dog Personal Protection Training Elementary / High School Programs Blood Donor

On average, how many hours each day will your dog spend alone?

If any of the above occured, how did you handle these issues?

If any of the above occured, how would you handle these issues?

NOTE: Please be aware that DCAS staff will inform you of a dog's behaviour while s/he has been in the shelter however, behaviour or personality of any dog can change when they are removed from the shelter environment. Once in his/her new home they can develop different personality or behaviour traits. Because of this we are not able to guarantee the future behaviour of any animal we adopt to the public. We encourage all adopters to seek a behavioural consult from a certified trainer once the dog is in your home.

Are you aware of the existing bylaws that pertain to animals in your community? (required)

Yes No

Have you made arrangements to spend a few days with this animal as it becomes accustomed to its new environment? (required)

Yes No

Please provide two personal references (other than a family member or person you live with):

Name: (required)

Phone: (required)

Name: (required)

Phone: (required)

Would you like DCAS to register you on your behalf for a 6-week complimentary pet insurance if your adoption application is successful? NOTE: This will involve releasing your name, address, phone number and/or e-mail address if available. (required)

Yes No

Verification

Verification Question: What is the opposite of "black"?

Please type the answer to the question above: (required)

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