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Name of Dog applying to adopt
Co-Applicant (First and Last name)
Prince Edward Island
Are you currently employed?
Name of Reference (not a relative/significant other)
Reference phone #
Please list the number of people living in this home:
Number of Adults in Household
Number of Children 6 - 18
Number of Children under 6
Do you own or rent your current place of residence?
If rented, do you have permission from your landlord to keep a dog?
Landlord's Phone #
Do you have any other pets at the current time?
How many? What type?
Are your current pets all spayed/neutered, up to date with vaccinations and heartworm medication?
Who is your veterinarian?
Veterinarian's phone #?
If adopted, would the dog be an
If not kept in the house, where would the dog live?
Do you have a fully fenced yard?
Height of fence
Where would the dog spend the majority of the day?
Where would the dog spend the night?
What is your reason for obtaining a dog?
Have you ever previously applied to adopt a dog
Was your adoption approved?
Have you ever given away a previously owned pet?
If so, please explain why.
If you are planning to have children in the future, will the dog remain a member of your family?
Are you aware of the "Running at Large" by-law that is in effect for dogs in most major cities?
Please read these statements and initial to indicate your agreement:
If a co-applicant is also applying,
(failure to do so will result in the application having to be re-submitted): they too must initial the following statements
Returning Dog: If for any reason you are unable to keep the dog in the future the dog must be returned to Before the Bridge for re-adoption as opposed to being turned in to a pound, sold or placed through a free-to-good home ad.
Euthanasia / Rehoming: Unless for extreme health issues no dog adopted from us may be euthanized or re-homed without our written consent.
Repossessing Dog: Before the Bridge Senior K9 Rescue reserves the right to repossess any adopted dog in the event that the rescue has reasons to believe the dog is being mistreated, housed in unsafe or potentially unsanitary conditions, or if information supplied on this form is discovered untruthful.
Fines: BBSK9R reserves the right to place a $2500 fine through court against anyone who breaches this contract by abusing, euthanizing (other than old age or serious illness), neglecting or rehoming any dog adopted through us.
BBSK9R’s adoptions have a two week trial period, where if for any reason the dog is not a good fit for your family, the dog is returned to BBSK9R and the adoption fee ($225 minus a $25 administration fee) is refunded. Initial to indicate you understand.
If for any reason a dog on an adoption trial requires medical attention , you must notify the Rescue and take the dog to one of our authorized Vets (Equi-Tech Veterinary Clinic North of the city or Dakota Vet in St. Vital). If there is an emergency situation and the dog is seriously injured or is in serious trouble, visit the nearest Vet and advise the Rescue as soon as possible. Initial here if you have read this statement.