Adoption Interest Form

How did you hear about La cabane à Liam? *

What type or breed would you like to adopt? *

Why does this dog interest you? What do like in it's description? *

Who will be primarily responsible for caring for this dog? *

Do all your family members want to adopt a dog? *

What type of home do you live in? *

Do you own or rent ? *

Own Rent

If you rent, are you allowed pets? *

Yes (please provide your lease) No, I am not allowed Other

Do you have access to the yard from your door? *

Yes No

If yes, is the yard fenced-in? *

Yes No

Type of fence *

'Frost' type (metal) Wood planks Cedar hedge Other

Please list names, age and occupation of the people living in the house *

Do you have children in permanent custody or shared who visit your home regularly or occasionally? If yes, please tell us their names, ages and frequency of their visits. *

Please give an overview of daily exercise you plan to provide the dog you want to adopt? *

During the work week how many hours a day will your dog be home alone? *

While you are away from home, where will your dog be? *

Where will he be when you are at home? *

Do you have any animals now? *

Yes Non

If yes, indicate the name, breed and age of each animal and tell us about them: *

If you have pets, how do they get along with other dogs? *

If you have pets, they are sterilized (spayed)? *

Yes No Some of them

Have you had pets in the past? Tell us about them: *

Have you adopt from a shelter in the past? *

Yes No

If so, which? *

Have you ever raised and trained a dog (obedience, cleanliness, agility, etc.)? *

If so, how did you accomplish this (cage, collar type, kind of corrections, etc.): *

Have you ever taken obedience classes with a dog? *

Yes No

If so where? *

Why do you want to adopt a dog now? *

If your dog has behavioural problems, how do you plan to address them? *

Are there any behavioural problems that you would not accept in your dog? Which ones? *

Are you aware that La Cabane à Liam requires the return of the dog if you are no longer able to keep it? *

Yes No

Are you aware that adopting a dog is a long-term commitment and you need to plan a period of adjustment that can take several weeks? *

Yes No

Do you have the resources to maintain a dog properly? *

Yes No

Do you have the means to cover emergency veterinary fees that can sometimes amount to more than $ 1,000? *

Yes No

Are you aware that the dogs from La Cabane à Liam are sterilized? *

Yes No

Are you aware that we require an adoption fee that is not refundable and we do not offer trial period? *

Yes No

Do you have a veterinarian? *

Yes No

If yes, indicate the name and address of his clinic: *

Are you able to travel more than an hour to meet the dog that interests you? *

Yes No

Sometimes we want to make a home visit prior to adoption. Are you open to receive us at home if we feel the need? *

Yes No

IS THERE ANYTHING ELSE YOU WOULD LIKE US TO SHARE? *

Are you ready for a new dog now? *

Yes No

If not, from what date can you welcome a new dog? *

By submitting this form you declare that all information provided is accurate above.

Adoption Interest Form **only completed forms will be considered