Dog Adoption Application Form Start the Adoption Process Today!

We want to make sure that we have the best fit for our adoptive homes and rescue dogs, filling out the form below will help us match your family with the most compatible dog for your lifestyle and what you are looking for in a pet.

Please check out our Dog Adoption Application Process page for detailed information on our process and eligibility before filling out the form.

Check out our rescue dogs available for adoption .

To note, we respect your privacy and do not tolerate spam. We will never sell or give away your information (name, address, email, etc.) to any third party. All information on this form is kept confidential between our directors and volunteers. We may discuss pet history with your veterinary hospital if applicable.

The Adopting Family Contact Information

What's your First Name?

Please enter your first name.

What's your Last Name?

Please enter your last name.

What’s your Age?

Please enter your age.

What’s your Email?

Please enter a valid email address.

What Phone Number can we reach you at?

Please enter your phone number.

What Type of Phone is that number?

HomeCellWork Please let us know what type of phone number you've entered.

When is the Best Time to Call that number?

Please let us know the best time to call the phone number provided.

Is there an Alternate Phone Number we should take note of?

YesNo Please let us know if there is another phone number to reach you at.

What’s the Alternate Phone Number?

Please enter your alternate phone number.

What Type of Phone is that number?

HomeCellWork Please let us know what type of alternate phone number you've entered.

When is the Best Time to Call that number?

Please let us know the best time to call the alternate phone number provided.

What’s your Home Address?

Street Address

Please enter your street number and name,

City, Town or Village

Please enter your city.

Province

Please enter your province.

Postal Code

Please enter your postal code.

Are you Employed?

YesNo Please let us know if you are employed or not.

Who’s your Employer?

Please let us know who is your employer.

Do you have a Spouse/Partner?

YesNo Please let us know if you have a spouse/partner.

What's your Spouse/Partner’s First Name

Please enter your spouse/partner's first name.

What's your Spouse/Partner’s Last Name

Please enter your spouse/partner's last name.

Is your Spouse/Partner Employed?

YesNo Please let us know if your spouse/partner is employed.

Who’s their Employer?

Please let us know who is your spouse/partner's employer.

About the Adoptable Dog Interested In

Are you applying to adopt a Specific Dog?

YesNo Please let us know if you are applying to adopt a specific dog.

What’s the Dog’s Name?

Please enter the dog's name you are applying to adopt.

Do you have a Preference in the Gender of the dog?

MaleFemaleNo Preference Please let us know your gender preference.

Are you willing to adopt a dog of Any Age?

YesNo Please let us know if you are willing to adopt a dog of any age.

What Age Range would you consider?

Please let us know the age range you would consider.

What Size of Dog are you willing to adopt? (check all that apply)

SmallMediumLarge Please let us know the size of dog you are willing to adopt.

Can you provide more details on the Type of Dog You Are Willing to Adopt? (including breed, coat length, personality traits, energy level, hypoallergenic, etc.)

Please provide more details on the type of dog you are willing to adopt.

Please give us a brief description of What You Are Looking for in a Pet?

Please let us know what you are looking for in a pet.

About The Adoptive Family’s Living Environment, Experience & Expectations

What’s your Home’s Activity Level?

Busy/Noisy Moderate Comings/GoingsQuiet with Occasional Guests Please let us know your home's activity level.

Is there anyone Allergic to Dogs in your Household?

YesNo Please let us know if there is anyone allergic to dogs in your household.

Do all members of your Family Agree to Adopt a Dog?

YesNo Please let us know if all members of your family agree to adopt a dog.

Please List all People Living in the Household (provide their Name, Relationship, Gender & Age)

Please enter the details of all the people living in your household.

Do you Own or Rent your home?

OwnRentOther (e.g. living with parents/family) Please let us know about your living arrangements,

Please describe your current Living Situation:

Please describe your current living situation.

Please indicate your Landlord’s Contact Information so that we can verify with them that pets are allowed.

Landlord Name:

Please enter your landlord's name.

Phone Number:

Please enter your landlord's phone number.

Do you have a Fenced Yard?

YesNo Please let us know if your yard is fenced or not.

Please provide details on the Frence’s Height, Material, Number of Gates and if the gates are Locked or Lockable?

Please provide the fence requested details.

How many Hours in a Day Would the Dog be Left Alone?

Please let us know how many hours in a day would the fog be left alone.

What are you Plans to Exercise Your Dog? (please list any parks nearby or trails, how many walks a day, approximate length, and activities you plan to do with your dog to provide its exercise)

Please let us know how you plan to exercise your dog.

Have you ever, Sold, Surrendered or Given any of your Animals Away for any reason?

YesNo Please let us know is you sold, surrendered or given any of your animals away.

Please explain the Reason(s):

Please explain the reason(s) why you sold, surrendered or given any of your animals away.

What do you consider a Good and Valid Reason for Giving up a Pet?

Please let us know what do you consider a good and valid reason for giving up a pet.

Do you Currently Own Pets?

YesNo Please let us know if you currently own pets or not.

Are all your animals Spayed/Neutered?

Yes NoDon't Know Please let us know if all your animals are spayed/neutered.

Are all your animals up-to-date on all their Vaccines?

Yes NoDon't Know Please let us know if all your animals are up-to-date on all their vaccines.

Describe the Pets You Currently Have in as much detail as possible (breed, age, sex, temperament, etc.):

Please describe the pets you currently have including the requested details.

Did you Own Pets in the Last 10 Years that are no longer with you?

YesNo Please let us know if you owned pets in the last 10 years or not.

Describe any Pets You Had in the Past 10 Years that are no longer with you in as much detail as possible (e.g. breed, sex, time period, reason they are no longer with you, etc.):

Please describe the pets you had in the past 10 years that are no longer with you including the requested details.

Do you understand and accept that suddenly Changing an Animal’s Environment May Cause Some Accidents? (e.g. housebreaking, damages, etc.)

YesNo Please confirm that you understand and accept the chance of possible accidents.

Are you willing to be Patient Working on Housebreaking or Other Issues, should the need arise?

YesNo Please confirm that you are willing to be patient and work on potential issue(s).

Are you willing to Use a Dog Crate if recommended?

YesNo Please confirm you are willing to use a dog crate.

How long do you feel an animal should be given for an Adjustment Period?

Please let us know how long you feel an animal should be given to adjustment to their new home.

Do you have any Experience Dealing with an Emotionally or Physically Neglected or Abused Dog?

YesNo Please let us know if you have any experience with neglected or abused dogs.

Please describe your Experience:

Please describe your experience dealing with neglected or abused dog(s).

References & Background Check

Please list 3 Personal References (we prefer them not to be relatives)

Personal Reference 1

First Name

Please enter the first name of your 1st personal reference.

Last Name

Please enter the last name of your 1st personal reference.

Phone

Please enter the phone number of your 1st personal reference.

Email

Please enter the email address of your 1st personal reference.

Relation to the applicant(s)

Please enter your relation to your 1st personal reference.

Personal Reference 2

First Name

Please enter the first name of your 2nd personal reference.

Last Name

Please enter the last name of your 2nd personal reference.

Phone

Please enter the phone number of your 2nd personal reference.

Email

Please enter the email address of your 2nd personal reference.

Relation to the applicant(s)

Please enter your relation to your 2nd personal reference.

Personal Reference 3

First Name

Please enter the first name of your 3rd personal reference.

Last Name

Please enter the last name of your 3rd personal reference.

Phone

Please enter the phone number of your 3rd personal reference.

Email

Please enter the email address of your 3rd personal reference.

Relation to the applicant(s)

Please enter your relation to your 3rd personal reference.

Do you have a Veterinary Clinic that looks/looked after of your current or past pets?

YesNo Please let us know if you have a Veterinary Clinic that looks/looked after of your current or past pets.

Which Veterinary Clinic looks/looked after of your current or past pets?

Clinic’s Name

Please let us know the name of the veterinary clinic's that looks/looked after of your current or past pets.

Clinic's Phone

Please let us know the phone number of the veterinary clinic's that looks/looked after of your current or past pets.

Veterinarian's Name

Please let us know the name of the veterinarian at the clinic's that looks/looked after of your current or past pets.

Please confirm that you will call your vet as soon as possible to give them permission to speak to "Fulfilling Hearts Rescue" regarding your pets. If we call and they advise that you have not contacted them to release the information we require, your application will NOT be processed.

Yes, I confirm I will call my vet to give permissionNo, I will not call my vet Please confirm that you will be calling your vet to give permission.

Have you ever had or have any Affiliation with any Other Rescue/Shelter/Human Organization in the past or present?

YesNo Please let us know if you ever had or have any affiliation with any other rescue/shelter/human organization in the past or present.

Please provide the Organization(s) Name, Your Relationship with them & the Time Period:

Please enter the organization(s) name, relationship and time period.

Have you ever been Convicted of or Investigated in relation to Animal Abuse or Neglect, or Fined under either Provincial, Federal or Municipal Animal Control By-Laws?

YesNo Please let us know if you ever been convicted of or investigated in relation to animal abuse or Neglect, or Fined.

Please explain the Reason(s) why and the Outcome(s):

Please enter the reason(s) why and the outcome(s)

Important Questions for a Successful Adoption Story

Please read the following questions thoroughly before submitting the application.

Are you willing to allow in-home checks, follow-up calls and/or pre-adoption verification of suitability of placement?

YesNo Please confirm you are willing.

Do you accept that the rescue requires a non-refundable adoption fee of $380 for dogs and $425 for puppies under 6 months to help cover our expenses. And that $150 of this fee will go towards mandatory training classes with a dog trainer approved by Fulfilling Hearts Rescue. And should further training be needed, it is the responsibility of the owner (you) to cover these additional costs.

YesNo Please confirm you accept.

The average dog has a lifespan of 12 to 15 years (OR LONGER). Are you willing to make a commitment both emotionally and financially to this dog, for the rest of his/her life?

YesNo Please confirm you are willing.

If, for any reason, you are unable to keep your dog, do you agree to notify rescue immediately and without hesitation?

YesNo Please confirm you agree.

If this is a long distance adoption and you are unable to keep the pet, are you willing to assume the responsibility, including travel and financial responsibility, for either returning the pet to Fulfilling Hearts Rescue or ensuring that it is boarded at a licensed boarding kennel until we can ensure reliable transportation?

Yes NoN/A (this is not a long distance adoption) Please confirm you are willing or if this does not apply.

If there are municipal by-laws pertaining to pet ownership in your area and all dogs MUST be licensed in your municipality, do you agree to license your dog once the adoption is completed and have him/her wear an identification tag at all times?

YesNo Please confirm you agree.

Do you understand and accept that the rescue group makes no explicit or implicit guarantees in reference to the health, and/or temperament of the animal? The animal is adopted as is and the adopter assumes all responsibility for treatment of any and all existing conditions or any other conditions of physical or temperament changes that may occur and that you agree that Fulfilling Hearts Rescue in no way can be held liable with regards to this investigation and/or placement. While the rescue group makes every effort to place only healthy animals and temper tested animals, we cannot guarantee the health or temperament of any animal and shall not be held responsible for any medical expenses which may be incurred, temperament or whether the animal is housebroken.

I understand & acceptI do not understand or accept Please confirm you understand and accept.

By submitting this application, you understand that this application is property of Fulfilling Hearts and you agree to give Fulfilling Hearts Rescue or any representative acting on their behalf, permission to fully investigate the information provided as well as permission to contact any veterinarians and/or other officials and/or organizations and/or references given on this application as it relates to pet ownership.

You confirm that the information you gave is true and that you recognize that any misrepresentation of facts may result in you losing privilege of adopting a pet.

In addition, you understand the adoption decision is dependent on many factors, including but not limited to the compatibility of the family and home to the individual animal. You understand it is Fulfilling Hearts Rescue’s prerogative to decide which home is most appropriate and that their decision is final, and therefore you will not argue with the decision.

Finally, you understand Fulfilling Hearts Rescue has the right to refuse any application and has the right to postpone or decline any adoption application or the adoption itself.

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Dog Adoption Application Form Start the Adoption Process Today!

The Adopting Family Contact Information

About the Adoptable Dog Interested In

About The Adoptive Family’s Living Environment, Experience & Expectations

References & Background Check

Important Questions for a Successful Adoption Story

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