HelpAWS Online Adoption Form
Full Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Address (Please include City and Postal Code) *
Your answer
Facebook Name and Instagram (So we can follow along on the dogs post adoption journey) *
Your answer
How did you hear about us?
Your answer
Name of animal(s) you're applying for *
Your answer
What is it about the animal that makes you feel they are the right fit for you? *
Your answer
How long have you been looking to adopt? *
How old are you? *
Your answer
What do you do for a living? *
Why would you like to adopt an animal? Check all that apply *
Do you have any personal changes happening within the next month? *
Are there children in your home? If so, how many?
How old are the children in your home? (Check all that apply) *
Do all member of your household agree to adopting? *
If you and your partner separated, what would happen to the animal? *
Your answer
Do any members of your household have animal allergies? *
Describe your lifestyle *
Do you currently have any pets in your home? *
If so, what kind and how many do you have? (please let us know the breed, sex, and age)
Your answer
Are they? (Check all that apply)
Are they spayed/neutered?
Have you ever bred your pets? *
Have you ever owned a pet in the past that is no longer with you? *
Were they all spayed/neutered?
Can you let us know how you lost your pet? (Died of old age, accident, gave it away, etc)
Your answer
Where did you get your pets?
Have you ever surrendered an animal? If so, please explain why
Your answer
Have you ever been convicted of a felony or animal cruelty? *
What's your living arrangement? *
Do you rent or own? *
If you rent from a landlord, please provide their Name
Your answer
Landlord's Number
Your answer
Where will your new pet stay during the day? *
Where will your new pet sleep during the night? *
Will your dog be tied up at anytime *
If yes, please explain when
Your answer
Describe the type of pet you are looking for
Your answer
What kind of activities do you plan to do with your pet? (Check all that apply) *
What kind of personality would you like your pet to have? *
Your answer
Are you into small, medium or large dogs?
How will you discipline or correct your pet? *
How much time will your pet spend away from you? *
How much daily exercise can you provide? *
Please indicate your level of dog experience *
If you go on vacation, where will the pet stay? *
Please list your previous veterinarian clinic, veterinarian name, and phone number and/or intended Veterinarian Clinic *
Your answer
If a vet recommended a surgery that could guarantee a better quality of life for your pet, but the surgery was too expensive for you, would you consider putting the dog to sleep? *
Will you be willing and able to take care of all expenses should your pet become sick or injured? *
Which member of your household will be primarily responsible for feeding, training, and exercising the pet? *
Do you plan on taking your dog to training classes? *
How often do you plan on taking the animal to the vet? *
How much do you expect to spend a year to feed, train, vaccinate, dog-sitting, license and providing medical care for the pet? *
If you move, will you take the animal with you? *
An animal 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? *
Your answer
Are you opposed to having a home check? *
Please list 2 personal references with names, addresses, phone number, and how they are related to you (we prefer it not to be a relative)
Your answer
Adoption Fees (effective Sept 25, 2017) Altered puppies up to 1 year $715, Unaltered puppies up to 1 year** $515 , Altered dogs 1 year and older $475, Bonded pairs $600. All dogs over 1 year will come spayed/neutered. If a puppy is adopted and is unaltered, the adoption fee is an additional $200 deposit, which is refundable upon completion of spay/neuter. When you provide proof that your HelpAWS dog is altered, we will reimburse you the $200 deposit you submitted at the time of adoption. You will have 1 month after the dog is 6 months of age for it to be altered. Failure to do so, HelpAWS will consider the $200 as a donation and has the right to remove the dog from your care. Kittens 6 months of age or younger are $375. Kittens over 6 Months of age are $275. All Kittens are spayed/neutered prior to adoption
I understand that the adoption fee covers flight, Spay/Neuter in some cases, first vaccine (each additional vaccine is +$30), flea/tick, dewormer, health certificate and ministry export papers and import fee to Canada and the US. *
I understand that any misrepresentation of the above information authorizes HelpAWS to deny application, and/or reclaim the dog that is in my home. I acknowledge that HelpAWS cannot guarantee any animals against parasites, diseases or destructive behavior. HelpAWS can't guarantee the absence or presence of any breeds. I will not hold HelpAWS responsible, nor seek any compensation for damages, medical fees or other liabilities incurred by the pet I adopt. *
If for any reason, you can no longer care for your adopted pet, or you do not spay/neuter it by 7 months of age, the animal must be returned to HelpAWS. HelpAWS retains the right to remove an animal adopted from them that has been deemed abused, neglected, or found to be in a situation that may not be in the best interest of the animal. I hereby give permission for my Veterinarian to release information to HelpAWS on any pets that I have owned, alive or deceased.
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