Our adoption coordinator will be looking to set up an adoption trial within three days of receiving this application. Are you able to commit to doing a trial within three days?
*
What size Dog are you interested in adopting?
*
Your Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Can we text the number provided for contact?
*
Address
*
NOTE: If you are located outside of Regina and surrounding area you will be personally required to travel to Regina to pick up and return any dog for a trial
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Occupation
*
How busy is your household schedule?
*
Very Busy
Busy
Not Busy
Are there animal allergies in the household?
*
Yes
No
Who will be the primary and secondary caregivers? What is the relation of the secondary caregiver to you?
*
If there is children in the household, please list ages.
*
Type of Residence
*
Apartment
Condo
House
Basement
Townhouse
Acreage/Farm
What is your residential living situation?
*
Rent
Own
I Live with my Parents/Legal Guardian(s)
If you rent, please list the name and contact info for your landlord. Note: This is not optional, if you do not provide info, your application could be deleted.
Have you owned dogs before?
*
Yes
No
What size dogs have you owned
What is the breed, age, and gender of any current household pets?
Are your pets spayed or neutered? If no, please explain.
Do all of your current pets have up to date vaccinations? If no, please explain.
Have you previously owned a dog/cat in the past 5 years that is no longer in the house?
*
Yes
No
If you have owned a dog/cat in the previous 5 years that is no longer in the household, please provide information as to why.
Where will the dog stay while no one is home - this includes running out for errands, work days, etc and there is no one there for supervision?
*
Loose in the house
Crated/Kennelled inside
Fenced Yard with dog house
Other
If other, please explain
Do you intend for your dog to be an outdoor dog?
*
Yes
No
How many hours a day will the dog be on its own? Please explain for both weekdays and weekends
*
Are you, or someone known to you, available to let a dog out every 4 hours?
*
Yes
No
How much exercise will the dog get each day?
*
How much do you think the dog will cost you each year?
*
Is your yard fenced and what is the approximate height of the fence?
*
Despite descriptions listed on our website and Facebook page, introducing a dog to a new environment will always come with its own set of challenges such as kennel training, house training, and behavioural training. Any dog or puppy takes time and patience before they become a part of your family! If you have any questions or concerns about this particular dog please list them below.
How did you hear about CC RezQs?
