Adoption Application

Please fill out this application and click the submit button when finished. It will email a copy to us.

***Incomplete forms will be rejected.***

Are you interested in; * Adopting Fostering to Adopt Fostering - Due to many of our dogs being adopted by their foster families we have combined our foster/adoption application
Name * First Last
Spouses Name First Last
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Email
Phone * - (###) - ### ####
Work Phone - (###) - ### ####
Occupation *
Employer
Employer's Phone - (###) - ### ####
Spouse's Employer
Spouse's Employer Phone - (###) - ### ####
Please List names and ages of all persons living in the household including yourself, from oldest to youngest *
Are you planning to have children at some point?(Are you aware that the cocker spaniel breed is not known for being the best match for a home with toddlers?) Yes No
If you have toddlers in the home or plan to have toddlers in the home at some point, how much adult supervision will be provided for any dog/child interaction? Passively supervising, an adult will always be in the room but not necessarily in the vicinity. Somewhat supervising, an adult will be physically within reach of the child/dog but also distracted by phone calls, texting, emailing, watching TV, being on the computer, etc. Strongly supervising, an adult is not going to be focused on anything other than the child/dog interaction and proactively watching the dog's body language for any discomfort about how the child is handling him/her
Are you or anyone in your household allergic to animals? * Yes No
Home Information
Do you rent or own? *
Type of home *

Condo, Duplex, Townhouse, Single Dwelling, etc
Landlord's Name First Last
Landlord's Phone - (###) - ### ####
If you rent, do you have your landlords permission to have pets? Yes No
Do you have a fully fenced yard? * Yes No
Height of Fence *

If not fenced, enter a 0.
Is your yard gated? * Yes No
Is your yard fully secure? Where a small pet could not get out? * Yes No
Pet Information
Please list the type & number of pets you currently own. *
Spayed/Neutered? Yes No
Vaccinated Yes No
Do any of your current pets have any behaviour and/or temperment issues to other animals? If yes, please explain *
If you have other animals, do you understand that there may be an "adjustment period" of several weeks where animals may require direct supervision? * Yes No
What kind of pets have you owned in the past and what happened to them? (Please be specific - ie. if you or your spouse has ever had to give up a dog and why) *
Commitment Information
How many hours alone will your pet be left for? *
How much time will you and your family have to spend with your dog each day? *
Do you or can you come home on your lunch break? Yes No
Where will the dog be kept when someone is home? *
Where will the dog be kept when no one is home? *
Where will the dog sleep at night? *
Do you have preferences for the kind of dog you are looking for? If yes, please specify. *
What behaviours are you willing to tolerate in a dog? * Getting on Furniture Chewing Jumping Barking Potty Accidents Crying/Whining Begging Getting in garbage Shredding paper Other
If no to any, explain how you would handle them. *
Would you be willing to house train a dog? * Yes No
Would you consider a special needs dog? Yes No
What would you do with the dog if you are unable to care for it? *
What would you do with the dog when you go on vacation? *
Would you ever give up your pet? *
For what reason would you give up your pet? *
How do you deal with medical issues that may come up with your dog? *
Expenses Section
Will you be able to spend $40-$50 every 4-6 weeks on grooming for your dog? * Yes No
If there are problems with housetraining or other behaviors, would you be willing and able to hire a professional trainer to help you? * Yes No
How much would you be willing to spend on medical expenses if your dog develops serious problems *

Please enter a whole number. No punctuation, $ etc.
Do you plan to get Pet Insurance? (to help pay for major medical emergencies) * Yes No
Cocker Spaniels are, as a breed, often subject to chronic ear infections. Would you be willing and able to handle the daily treatments yourself, as well as the sometimes frequent veterinary bills for these and any other illnesses? * Yes No
Cocker Spaniels are often genetically predisposed to eye problems, such as cataracts or glaucoma (even at a young age). Are you prepared for the medical expenses these problems may present? (Cataract Surgery can cost $2,000 per eye) * Yes No
If No to any of the above, Please explain.
Cocker spaniels can live 12-15 years, are you willing to commit to the care, costs and responsibilities for the dogs lifetime? * Yes No
General Questions
A happy healthy dog requires regular exercise. Are you willing to provide that? If so, what would you do to exercise your dog? *
What is your philosophy on training your dog to be off-leash? *
What specific brand of food do you plan on feeding your dog? *
Would you be interested in learning more about different kinds of food and their health benefits for your dog? * Yes No
Have you ever owned a Cocker Spaniel? * Yes No
Have you done research on Cocker Spaniels? * Yes No
Would you consider fostering a Cocker Spainiel in the future? * Yes No
When are you available to start fostering?
How long are you willing to foster a dog for?
Please tell us why you would like to add a cocker spaniel to your family *
References Please provide a reference from your personal veterinarian and two other non-related references.
Vet Name * First Last
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone * - (###) - ### ####
Reference 1 Name * First Last
Phone * - (###) - ### ####
Reference 2 Name * First Last
Phone * - (###) - ### ####
Our other requirements include a home check, an adoption contract to be signed at the time of adoption, and occasional post-adoption visits. There will be a non-refundable minimum donation of $500.00 required at the time of adoption. This is not enough to cover our expenses associated with rescuing each dog so anything above that would be very much appreciated and will allow us to continue our rescue efforts. This Adoption Application also forms part of the Adoption Contract. As such, do you verify that the information given is correct? * Yes No
Additional notes for anything else you would like to add to your application:

Adoption Application

Adoption Application

Home Information

Pet Information

Commitment Information

Expenses Section

General Questions

References Please provide a reference from your personal veterinarian and two other non-related references.