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GEARS Adoption Application
Please note that we only accept applications for animals currently listed as available on our Facebook page/website
Name of Animal if known:
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Name of Applicant #1 *
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Name of Applicant #2 (if applicable)
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Address: *
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City: *
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Postal Code: *
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Main Phone Number: *
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Secondary Phone Number:
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Email: *
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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
If living in a condo or townhouse, do your by-laws have height or breed restrictions?
Who will be the primary caregiver of the animal? *
Your answer
Is the primary caregiver over 18 years of age? *
Number of adults in the home: *
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Number of children in the home: *
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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?
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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? *
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Where will the animal be when you are away from the home? *
Your answer
Where will the animal sleep at night? *
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Who will care for the animal when you are on vacation? *
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Who will care for the animal in case of an emergency? *
Your answer
Have you considered day to day expenses related to owning a pet? *
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Are you prepared for veterinary expenses, such as emergency medical care, that may occur? *
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Are you willing to commit to this animal for the remainder of it's life? The average lifespan for a dog is 10-15 years, and 15-20 years for a cat. *
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Do you have a plan in place should you permanently no longer be able to care for the animal? *
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Do you understand that we cannot guarantee the health and temperament of any animal but will make you aware of any known issues? *
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How do you plan to train your pet? *
Your answer
Please list your current pets including breed, gender, and age
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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?
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Do you understand that there may be an adjustment period before the animal forms a relationship with you and/or your family? *
Your answer
Do you understand these adjustments may include housetraining and acclimation to a new environment? *
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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, euthanized, given away, etc)
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Have you ever been convicted of a criminal offense relating to an animal or child? *
If yes, please explain the circumstances.
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How did you hear about GEARS?
Please list three references including contact numbers. Reference #1 *
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Reference #2 *
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Reference #3 *
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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.
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This form was created inside of Greater Edmonton Animal Rescue Society (GEARS). Report Abuse - Terms of Service