Adoption Application

Please note: We have been having sporadic issues with receiving applications. This form must be completed and submitted from a computer (desktop or laptop). If you do not receive a response from a human 48 hours after submitting an application, please reach out to us at records.beforethebridge@hotmail.com or (204) 295-0955.

You may also download a hard copy of the form here, and scan and email it to us at records.beforethebridge@hotmail.com.

Name of Dog applying to adopt

Applicant Name(Required)

First Last

Co-Applicant Name

First Last

Your Address(Required)

Street Address Address Line 2 City Province Postal Code

Home Phone(Required)

Work Phone(Required)

Cell Phone(Required)

Email Address(Required)

Are you currently employed?

Full Time

Part Time

Retired

Name of 1st Reference (not a relative/significant other)(Required)

1st Reference's phone #(Required)

Name of 2nd Reference (not a relative/significant other)(Required)

2nd Reference's phone #(Required)

Number of Adults in Household(Required)

Number of Children 6 - 18 in household(Required)

Please enter a number less than or equal to 18.

Number of Children under 6 in household(Required)

Please enter a number less than or equal to 18.

Do you own or rent your current place of residence?(Required)

Own

Rent

If rented, do you have permission from your landlord to keep a dog?

Yes

Landlord's Name

Landlord's Phone #

Do you have any other pets at the current time?

Yes

How many? What kind?

Are your current pets all spayed/neutered?

yes

Are your current pets up to date with vaccinations and heartworm medication?

yes

Veterinarian's Name (past or present)

Veterinarian's phone #

If adopted, would the dog be an(Required)

indoor dog

outdoor dog

both

If not kept in the house, where would the dog live?

Do you have a fully fenced yard?

Yes

Height of fence

Where would the dog spend the majority of the day?(Required)

crated in house

doggie daycare

garage

indoor kennel / run

outdoor kennel / run

loose in house

loose in yard

with a relative/friend

tethered up outside

other

Where would the dog spend the majority of the night?(Required)

crated in house

doggie daycare

garage

indoor kennel / run

outdoor kennel / run

loose in house

loose in yard

with a relative/friend

tethered up outside

other

What is your reason for obtaining a dog?(Required)

companionship

children's pet

working dog

showing

dog's companion

guard dog

other

Have you ever previously applied to adopt a dog(Required)

Yes

If Yes, where from?

Was your adoption approved?

Yes

N/A

Have you ever given away a previously owned pet?(Required)

Yes

If so, please explain why.

If you are planning to have children in the future, will the dog remain a member of your family?(Required)

Yes

Are you aware of the "Running at Large" by-law that is in effect for dogs in most major cities?(Required)

Yes

Comments

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.(Required)

Euthanasia / Rehoming: Unless for extreme health issues no dog adopted from us may be euthanized or re-homed without our written consent.(Required)

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.(Required)

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.(Required)

BBSK9R’s adoptions have a two week trial period. If for any reason during that time BTBSK9R or the potential adopter determine the dog is not a good fit for the home & family, the dog is returned to BBSK9R and the adoption fee (minus a $25 administration fee) is refunded. Initial to indicate you understand.(Required)

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 Kenaston Vet). 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.(Required)

In signing below you are agreeing to the terms outlined above. If the terms are not met you the undersigned will be liable and legal action may be taken. If BBSK9R is forced to take legal action, the party against whom action is taken will be liable for court costs.(Required)

Date of Application

MM slash DD slash YYYY

Adoption Application

Adoption Application

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Contact Info