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GEARS Adoption Application
Please note that we only accept applications for animals currently listed as available on our Facebook page or website.
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Email *
Name of animal if known:  *
First and Last Name of Applicant #1 *
First and Last Name of Applicant #2 (if applicable)
Address: *
City: *
Postal Code: *
Main Phone Number: *
Secondary Phone Number:
Email: *
Type of Residence: *
Do you: *
If renting, do you have permission from your landlord to bring an animal into your home? GEARS requires written consent stating that you are permitted to have animals on the premises. Please include this consent with your application
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If living in a condo/strata, do your by-laws have height or breed restrictions?
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If yes, please indicate below what the restrictions are.
Do you smoke inside your home? *
Who will be the primary caregiver of the animal? *
Is the primary caregiver over 18 years of age? *
Number of adults in the home: *
Number of children in the home and their ages: *
Do you have a fenced yard? *
How high is the fence?
If you do not have fencing, how do you plan to exercise your dog and allow them to use the washroom?
What type of personality are you looking for in an animal?  Check all that apply *
What age of pet are you looking for? *
How many hours, on average, would the animal be alone? *
Where will the animal be when you are away from the home? *
Where will the animal sleep at night? *
Who will care for the animal when you are on vacation? *
Who will care for the animal in case of an emergency? *
Have you considered day to day expenses related to owning a pet? *
Are you prepared for veterinary expenses, such as emergency medical care, that may occur? *
Are you willing to commit to this animal for the remainder of its life? The average lifespan of a dog is 10-15 years and 15-20 years for a cat. *
Do you have a plan in place should you permanently no longer be able to care for the animal? *
Do you understand that we cannot guarantee the health and temperament of any animal but will make you aware of any known issues? *
How do you plan to train your pet? *
Please list your current pets including breed, gender, and age *
Are your current pets spayed/neutered? *
Are they up to date on vaccinations? *
Are you confident your current pet(s) will adjust to a new animal in the home? *
Do you understand that there may be an adjustment period before the animal forms a relationship with you and/or your family? *
Do you understand these adjustments may include housetraining and acclimation to a new environment? *
Do you understand and agree to our adoption fees? Cats/kittens are $225, a pair (2) of cats/kittens is $350; Dogs under 1 year are $550, dogs over 1 year are $500.  *
If you have had pets in the past five years that are no longer with you, please provide the reason.(Passed away from old age, accident, why euthanized, given away, etc) *
Have you ever been convicted of a criminal offense relating to an animal or child?   *
If yes, please explain the circumstances.
How did you hear about GEARS? *
*THIS IS REQUIRED: First and last name of reference #1 and contact phone number*  *
*THIS IS REQUIRED: First and last name of reference #2 and contact phone number* *
*THIS IS REQUIRED: First and last name of reference #3 and contact phone number* *
List any questions or concerns you have at this time.  Please also feel free to include any other information that you feel we should know about you.
After submitting your application, please check your spam folder, and if using Gmail, please check your "social" and "promotions" tabs too for a response from us! We aim to respond within 4 days. Thank you :)
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Greater Edmonton Animal Rescue Society (GEARS). Report Abuse