Adoption Application

* indicates required field

Contact Information

Name:*

Email:*

Full Address*

Daytime Phone*

Evening Phone*

A little more info...

Have you applied to any other rescue organization or shelter?*

Have you ever been denied approval through any rescue or shelter?*

If so, please provide name and phone number of the organization

Family & Home

Name, Age & Occupation of adult(s) in the home*

Name(s) & Age(s) of any children in the home (full-time or part-time)

Does anyone in the home have pet allergies?*

Type of residence*

Location of residence*

Do you rent or own?*

(Landlord confirmation will be required.)

When did you move in?*

Approximate square footage of home?*

Are there stairs in your home?*

Do you have a fenced yard?*

Do you have a pool or pond?*

Do you have a deck/patio?*

Does your yard offer shade?*

Do you have an outdoor dog run or kennel?*

Have you ever owned a Springer?*

What do you know about Springer Spaniels?*

Tell us about any previously owned pets, including breed*

Tell us about any current pets, including breed*

(Please also note their age, sex, and if they are spayed/neutered.)

Are your pets current with any of the following?*

Vaccinations
Flea & Tick Preventative
Heartworm Preventative
Licenced
ID tag on collar
Microchip/Tattoo
Not applicable/no pets

(Please select all that apply.)

How will you discipline your Springer?*

Have you ever or do you plan on going to obedience classes?*

Are you aware of/familiar with dominant behaviour with dogs?*

If behaviour problems, like dominance, were to surface, how would you handle it?*

Are you aware of pack behaviour between dogs?*

How would you introduce a new dog into your pack?*

When outside, will your dog be supervised?*

When outside, will your dog be chained or tethered?*

Are you familiar with crate training?*

Do you intend on using a crate?*

How many hours will your Springer be left alone during working hours?*

Where will the dog be kept while you are at work?*

How do you plan on exercising your Springer, and how often?*

Are you familiar with the grooming, ear cleaning and brushing needs of a Springer?*

Are you fully aware of things that are harmful to a dog, including (but not limited to):*

Chocolate
Grapes
Raisins
Rat Poison
Antifreeze
Particular House Plants

(Please select all that apply.)

If your dog went missing, was lost or stolen, what steps would you take?*

Have you ever given up a pet in the past? If so, what were the circumstances?*

Under what circumstances would you give up your Springer?*

Have you ever had to euthanize a pet? If so, under what circumstances?*

Springer Preferences

Interested in any Springer in particular?

Please provide at least one Veterinarian Reference*

(A satisfactory reference must be obtained before approval for adoption.)

Please provide at least one Personal Reference*

Do you have any concerns about becoming a member of the rescue organization after adoption?*

Would you like to be contacted to become involved with the rescue activities of our organization?*

Springer Rescue of Ontario

The Home of Happy Tail Endings

Adoption Application