I would like to adopt a cat / dog.
Please note that information provided to FFL is strictly confidential and will not be shared with other parties. When you submit this form you are giving FFL authorization to call your veterinarian and / or landlord for a reference check.
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Denotes required field.
First Name :
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Last Name :
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Home Phone Number :
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Cell Phone Number :
Email :
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Street Address :
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Province :
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Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
City :
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Postal Code :
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Type of residence
Do you Rent? :
Apartment
House
Mobile Home
Do you Own? :
House
Condo
Other
Do you Live with? :
Roomate(s)
Parents
If you rent... :
Landlord Name :
Landlord Phone # :
Does your home have any of the following? :
Balcony
Pet Door
Unscreened Windows
Do you have any pets now? :
Yes
No
If yes, what do you have? :
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If no, have you had any pets in the past and what happened to them? :
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Are your pets spayed / neutered? :
Yes
No
Do you have children under the age of 16? :
Yes
No
If so, how many and what are their ages? :
*
Do you teach your kids responsible treatment of animals? :
Yes
No
Name of veterinarian? :
Name your pets file is under :
If you are new to the area you must provide the name, address and phone of your previous Veterinarian :
In your opinion how often should your cat / dog see a veterinarian? :
Is any member of your family allergic to pets? :
Yes
No
Will the pet be indoors or outdoors? :
Indoors
Outdoors
Microchip vouchers are available for $15.00 at the time of adoption. Are you willing to purchase one and microchip this cat? :
Yes
No
If 'No', why not? :
What is the name of the cat / dog you are interested in? :
If you plan on moving in the future, do you plan on taking your pet with you? :
Yes
No
Who are you adopting this cat/dog for? :
Myself
Other
How would you describe your home environment? :
Loud
Calm
Quiet
Have you ever surrendered or given away a pet? :
Yes
No
How are your other pets with cats/dogs? :
Are your other Pets fixed? :
Yes
No
Under what circumstances would you return your cat/dog? :
Moving
Too Costly
New Baby
Not Enough Time
Relationship Breakup
Cat is too shy
Scratching furniture
Have you ever been convicted/accused of neglect or cruelty/abuse to animals? :
Yes
No
Why are you looking to adopt a cat? (Check all that apply) :
Companion for you / spouse
Companion for children
Companion for pet
As a gift
Replace lost / deceased pet
Other
if 'other', please explain :
Are you financially willing and able to provide for this pets needs, which include food, water, supplies, toys, scratch posts, plenty of TLC, regular veterinary checkups, and emergency treatments for illness and injury? :
Yes
No
Not Sure
Are you prepared to allow at least one full month for your cat to become adjusted to its new home? :
Yes
No
Please list the reasons for which you might choose to euthanize your cat (e.g. a broken limb, litter box issues, moving, children, aggression towards people, aggression towards other animals, allergies, destructive behaviors such as scratching furniture, ear infections, and skin conditions, etc.) :
Will you allow FFL to do a home visit if deemed necessary? :
Yes
No
Have you lost a cat / dog to an infectious disease in the last 3 months? :
Yes
No
Dog specific adoption questions
Who will have the primary responsibility for this dog? :
How many hours of exercise can you give your dog? :
Weekdays
Weekends
What would you enjoy doing with your dog? :
On-leash walking
Off-leash walking
Off-leash parks
Jogging
Cycling
Other
On average, how many hours will your dog be alone on? :
Weekdays
Weekends
Where will your dog stay during the day? :
Crated inside
Fenced kennel/run
Fenced yard
Garage
Loose in the house
Loose outside
Other
Where will your dog stay during the night? :
Crated inside
Fenced kennel/run
Fenced yard
Garage
Loose in the house
Loose outside
Other