Online Adoption Application

Manitoba Mutts

Adoption Application Form

Adoption Application Form

Pet Information

Applicant Information

Address

Landlord Info (if applicable)

General Household Information

References

Pet Information

Applicant Information

Address

Landlord Info (if applicable)

General Household Information

References

General Inquiries

Adoption Inquiries

Foster Inquiries

In order to be considered for an adoption you must:

Be 18 years of age.
Have the knowledge and consent of all adults living in your household.
Understand that completing this application does not guarantee adoption, and that the Manitoba Mutts Rescue Inc. must approve your application.
All current animals must be up to date with vaccinations
If your current animal is not spayed or neutered, you will only be able to adopt an animal that is already spayed/neutered

If you are not approved for a specific dog/cat we encourage you to apply for another dog/cat that may better suit your lifestyle.

note: All fields labeled with an asterisk (*) are required.

Adopting *

Name of dog/cat application is for * (limit 2)

First Name: *

Last Name: *

Your Email *

Are you 18 years old or older? *
yesno

Primary Contact Number

Type *

Area Code *

Phone Number *

Other Phone (optional)

Type

Area Code

Phone Number

Street Address *

Apt, Suite, Bldg. (optional)

Town/City *

Postal Code *

Do you live in a *

If you selected 'other'

Do you *

If you selected 'other'

Landlord's Name

Landlord's Phone Number

Area Code

Phone Number

Landlord's Address

How long have you lived at
your current address? *

If less than 1 year, please list previous address and how long you were there:

Number of Adults

Number of Children

Ages of Children

Who will be primarily responsible for the care (feeding, grooming, exercise and training) of your new pet? *

Why would you like to adopt a pet from us? (check all that apply) *

If 'other', please explain

How many pets do you have now?

Dogs

Cats

Other

Pet Name(s)

Type/Breed

Age(s)

Sex(es)

Spayed/Neutered?

Up to Date Vaccines?

Where did you get the pet from?

What veterinarians would have records [past/present]?

Which veterinarian do you plan to use?

Have you ever had to return or re-home a dog/cat? If so, why? *

Do you have any plans to move in the near future? *

If at some time you do move, what will you do with your pet? *

How much time will this dog/cat be alone? (without human companionship)

Hours / day *

Days / week *

Where will the dog/cat be kept when home alone? *

Where will the dog/cat be kept when home overnight? *

How/where will the dog/cat receive exercise? *

How often? *

Do you have a fully fenced yard?

If you have a fence, how high is it?

When, or if not fenced, will you use a leash: *all of the timealmost alwayssometimesnever

How will you discipline or correct your dog/cat? *

A dog/cat can live well over 10 years and requires a major commitment of time, finances and emotion. Why do you feel you can make that kind of commitment at this time? *

What weight/size of dog, as an adult, are you looking for? *

Where did you hear about Manitoba Mutts Dog Rescue Inc.? *

(non-family preferred)

Reference #1

First Name *

Last Name *

Relationship *

Contact Number *

Best time to Contact

E-mail address

Reference #2

First Name *

Last Name *

Relationship *

Contact Number *

Best time to Contact

E-mail address

Reference #3

First Name *

Last Name *

Relationship *

Contact Number *

Best time to Contact

E-mail address

Additional Information

Having Trouble? If you have trouble submitting this form, please clear your browser cache and try again (For instructions see: How to Clear Browser Cache) or try another browser. If that doesn't work please contact us at [email protected] for assistance.

« January 2021 »