Personal Information

First name

Last name

Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Household Details

Type of housing

Do you rent or own your home?

If renting, do you have permission from your landlord to foster a dog?

Yes

No

Please list all people living in the home (names & ages)

Does anyone in your home have allergies to animals?

Yes

No

Is everyone in the household in agreement about adopting a dog?

Yes

No

Are you adopting on behalf of someone else?

Yes

No

Pet Experience & Current Animals

Have you owned a dog before?

Yes

No

Do you currently have any pets?

Yes

No

If yes, please list their:

What species/breed?

What are their ages?

Are they spayed/neutered? (if no, why not?)

Do your pets get along with dogs?

Yes

No

How have you handled pets as they aged, became sick, or developed behavioural problems?

Vetting & Responsibility

Are you prepared for the financial responsibilities of pet ownership (vet care, food, supplies, emergencies)?

Yes

No

Do you currently have a veterinarian?

Yes

No, I will find one before adoption is complete.

If yes, please provide your veterinarians:

Clinic Name

Phone

Address

All Last Litter rescues must be spayed/neutered. By completing this application, you confirm that you understand this requirement and will ensure you complete this requirement if the dog you adopt is not yet altered.

Yes

No

Availibility & Lifestyle

Are you currently working or studying?

How many hours per day would the dog be left alone?

Where would they dog stay when you're not home?

Where will the dog sleep at night?

Adoption Fit & Expectations

Please provide the name of the dog you are hoping to adopt

If this dog is no longer available, do you have a second choice?

What qualities are you looking for in a dog?

Describe what you will you do if your new dog has behavioural challenges (e.g. accidents, chewing, barking, fear)?

Are there behaviours you’re not comfortable managing (e.g. barking, accidents, chewing)?

If you move, travel, or change jobs, what is your plan for the dog?

If for any reason you could no longer care for the dog, what would you do?

Is there anything else you’d like us to know?