Freedom Dog Rescue Adoption Application

You can also upload your completed adoption application which is posted on our website at www.freedomdogrescue.ca

Upload a File

Where did you see this adoptable?

Dog of Interest

Full Name*

First NameLast Name

Occupation

Age

Spouse Full Name - please put NA if there are no co-applicant

First Name, please put NA if there are no co-applicantLast Name, please put NA if there are no co-applicant

Spouse Occupation

Spouse Age

E-mail*

Address*

Street Address

Street Address Line 2

CityProvince

Postal codeCountry

Do you live 3 hours (driving time) away from Ottawa Ontario?*

YesNo

Please note that we will not be able to adopt outside of Canada due to inability to perform the full adoption process for out of country applicants. We appreciate your support for rescue dogs and highly encourage you to reach out to your local shelter and rescue.

Please note that you are applying from out of town.

Freedom Dog Rescue is a 100% volunteer-run organization based in Ottawa, Ontario. Our dogs often receive multiple applications to ensure we find the best match.

Local applicants will be prioritized for in-person meetings.
If an out-of-town applicant is chosen, they must travel to Ottawa to meet the dog before adoption—this is mandatory.
The out-of-town applicant is responsible for all costs associated with transportation and pickup.
If the dog is young or requires additional veterinary appointments in Ottawa, the applicant must either return to Ottawa or work with a designated veterinary clinic approved by our vetting team.
If you agree to the above terms for an out-of-town adoption application, please proceed with filling out the application.

Phone Number - Home

Area CodePhone Number

Phone Number - Cellular

Area CodePhone Number

Phone Number - Work

Area CodePhone Number

Do you live in a:*

Do you:

OwnRentLive with ParentsOther

If Renting: Please indicate landlord contact information

Household Setting

RuralSuburbanUrban

Describe your Homes Activity Level

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)

Does Anyone in your Household have Allergies to Animals?

YesNo

Are all members of your family agreeable to adopting a dog?

YesNo

Please list any pets you have living or deceased (Please include name, breed, age, spayed/neutered, sex, vaccinations up to date, heartworm, living/deceased)

Why do you want to adopt a dog?

Have you ever owned the breed of dog that you are applying for? If so, where, when and from whom was it acquired?:

Veterinarian Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

Veterinarian used in the past?

First NameLast Name

HAVE YOU GIVEN PERMISSION TO YOUR VETERINARY CLINIC TO RELEASE INFORMATION ON YOUR FILE? This step does cause to slow down adoption process if we have to contact to ask to do this. If there are 2 applications on same dog, the vet records can play a big part in final adoption.*

YESNO

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Do you have a preference of male or female?

MaleFemaleNo Preference

Are you willing to adopt a dog of any age?

YesNo

If not, what age would you consider?

What size dog are you looking for? (Check all that apply)

SmallMediumLarge

Please describe the type of dog you are looking for if not applying for a specific dog in care. (Please include breed, approximate age, coat length, personality traits, energy level, hypoallergenic)

We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience?

YesNo

Have you had any experience with with an emotionally or physically neglected or abused dog?

YesNo

If Yes please explain

Are you willing to use a crate for a dog if recommended?

YesNo

Do you have a fenced yard?*

YesNoPartial

If fenced, please give details on height, material, # of gates, are gates locked or lockable?

How many hours in a day would the dog be left alone?*

What are you plans to exercise your dog? Please list any parks nearby or trails, how many walks a day, approximate length, activities such as agility

Who will have primary responsibility for the care of the dog?

Please list 3 personal references with names, addresses, phone numbers and how related. We prefer it not to be all relatives. Are you ok with this?

YesNo

Email is preferred for the references' contact info.

Reference #1: Full Name

First NameLast Name

Relation to applicant(s):

E-mail

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Reference #2: Full Name

First NameLast Name

Relation to applicant(s):

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Reference #3: Full Name

First NameLast Name

Relation to applicant(s):

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Are you willing to have a member of Freedom Dog Rescue visit with you, by appointment, prior to and after any adoption?

YesNo

If no transportation can be found, will you be willing to travel to collect a dog?

YesNo

We require an adoption fee to defray veterinary and other expenses. Are you willing to do so?

YesNo

Comments:

By submitting this form, I acknowledge and accept the following terms as a binding contract:

Indoor Pet and Family Member
Any dog adopted from Freedom Dog Rescue is to be kept as an indoor pet and treated as a member of my family.

Medical Care and Preventative Treatment
I will provide the adopted dog with all necessary vaccinations, licenses, heartworm and flea prevention, as well as any medical treatment that may become necessary for its well-being.

Return of the Dog
If for any reason I can no longer care for the adopted dog, I agree to return it to Freedom Dog Rescue. Freedom Dog Rescue retains the right to reclaim any dog that has been found to be abused, neglected, or placed in an unsuitable living situation that is not in the dog’s best interest.

Veterinarian Release
I hereby give permission for my veterinarian to release information about any pets I have owned (whether living or deceased) to Freedom Dog Rescue for the purpose of this adoption.

Freedom Dog Rescue’s Right to Refuse Adoption
Freedom Dog Rescue reserves the right to refuse adoption to any applicant. Any misrepresentation of facts may result in my being denied approval to adopt a dog from Freedom Dog Rescue.

Accuracy of Information
I certify that all information provided on this form is true and correct to the best of my knowledge.

Spay/Neuter and Adoption Contract
If accepted as an adopter for a dog with spay/neuter contract, by submitting this adoption application, I agree to adhere to all of the terms of the adoption contract, including the clause related to spaying or neutering the adopted dog as booked by Freedom Dog Rescue Vetting Team. I understand that failure to attend the scheduled spay/neuter appointment will result in the dog being removed from my care without the refund of my adoption fee.

Date

MonthDayYear

Your name*

Co-Applicant name (if applicable)