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Formulaires / Forms
Formulaire d'abandon
Devenir famille d'accueil
Adoption Interest Form
Formulaire d'intérêt pour l'adoption
Adoption Interest Form
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only completed forms will be considered
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Indicates required field
Name of the dog you are interested in
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Your name
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Adress
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Apt.
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Street
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City
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Phone
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Postal Code
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Email
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How did you hear about La cabane à Liam?
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What type or breed would you like to adopt?
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Why does this dog interest you? What do like in it's description?
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Sex
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Female
Male
Not important
Age
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Puppy (2 to 9 months)
Young (9 to 18 months)
Adult (18 months to 6 years)
Senior (7 years +)
Not important
Energy Level Required
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Calm
Moderatly active
Active
Size/Weight
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Small(up to 20 lbs)
Medium (20 to 45 lbs)
Great (45 to 75 lbs)
Giant (75 lbs +)
Not important
Who will be primarily responsible for caring for this dog?
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Do all your family members want to adopt a dog?
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What type of home do you live in?
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Single House
Condo
Farm
Appartment
Do you own or rent ?
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Own
Rent
If you rent, are you allowed pets?
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Yes (please provide your lease)
No, I am not allowed
Other
Do you have access to the yard from your door?
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Yes
No
If yes, is the yard fenced-in?
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Yes
No
Type of fence
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'Frost' type (metal)
Wood planks
Cedar hedge
Other
Please list names, age and occupation of the people living in the house
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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.
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Please give an overview of daily exercise you plan to provide the dog you want to adopt?
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During the work week how many hours a day will your dog be home alone?
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While you are away from home, where will your dog be?
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Where will he be when you are at home?
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Where will your dog sleep?
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Do you have any animals now?
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Yes
Non
If yes, indicate the name, breed and age of each animal and tell us about them:
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If you have pets, how do they get along with other dogs?
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If you have pets, they are sterilized (spayed)?
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Yes
No
Some of them
Have you had pets in the past? Tell us about them:
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Have you adopt from a shelter in the past?
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Yes
No
If so, which?
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Have you ever raised and trained a dog (obedience, cleanliness, agility, etc.)?
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If so, how did you accomplish this (cage, collar type, kind of corrections, etc.):
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Have you ever taken obedience classes with a dog?
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Yes
No
If so where?
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Why do you want to adopt a dog now?
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If your dog has behavioural problems, how do you plan to address them?
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Are there any behavioural problems that you would not accept in your dog? Which ones?
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Are you aware that La Cabane à Liam requires the return of the dog if you are no longer able to keep it?
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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?
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Yes
No
Do you have the resources to maintain a dog properly?
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Yes
No
Do you have the means to cover emergency veterinary fees that can sometimes amount to more than $ 1,000?
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Yes
No
Are you aware that the dogs from La Cabane à Liam are sterilized?
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Yes
No
Are you aware that we require an adoption fee that is not refundable and we do not offer trial period?
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Yes
No
Do you have a veterinarian?
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Yes
No
If yes, indicate the name and address of his clinic:
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Are you able to travel more than an hour to meet the dog that interests you?
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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?
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Yes
No
IS THERE ANYTHING ELSE YOU WOULD LIKE US TO SHARE?
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Are you ready for a new dog now?
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Yes
No
If not, from what date can you welcome a new dog?
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By submitting this form you declare that all information provided is accurate above.
Submit