Name Date * I wish to adopt from the following location: * Antigonish Cape Breton Colchester Hants Kings La Baie Lunenburg Pictou Queens Yarmouth BARN CAT Please note, Dartmouth does not accept online applications. Visit them in person to adopt. I am submitting this application because... * I am ready to adopt now *Please note - We do not accept preapproval applications* Name of dog I would like to adopt is: * First * First Last * Last Address * Street Address Address Line 2 City * Postal Code Province * Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Phone * Email * Please add me to your email list for SPCA updates: * Yes No Number of adults in my home * Name of all adults in my home: * Please include last names if it differs from the last name of applicant. Number of children in my home * Ages of children in my home Please list ages of each child in the home I have the following Pet(s) in my home: Dog Cat Other Dog #1 Name Please fill the above information for EACH dog(s) in your household Age Breed Sex (M/F) Dog #2 Name Please fill the above information for EACH dog(s) in your household Age Breed Sex (M/F) Dog #3 Name Please fill the above information for EACH dog(s) in your household Age Breed Sex (M/F) Dog #4 Name Please fill the above information for EACH dog(s) in your household Age Breed Sex (M/F) My expiernce with gogs... * I am a first time dog owner I am an experienced dog owner My new dog will be kept... * Primarily Indoors Indoors and Outdoors Outdoors Only My new dog will be left home alone for this many hours each day * I would like to include my dog in the following activities (e.g. Hiking) * Let us know what you're looking for ina puppy or dog so we can find you a perfect match... * Puppy Young Adult Adult Senior No Preference The ideal size (as an adult) would be: * Extra small (less that 15 lbs) Small ( 15-25 lbs) Medium (25-50 lbs) Large (50-75 lbs) Extra Large (75+lbs) Gender * Male Female No Preference Energy Level * Low Medium High No prefernce Coat (Hair) Length * Short Medium Long No Preference I would prefer the following breeds and/or breed mixes: Things I would like to know more about: * Supplies I will need to get started Introducing the new dog to my current pets Introducing the new dog to my children House training Training techniques Dog trainers and obedience classes in my area Annial veterinary care requirements and costs Veterinarians in my area Dealing with unwanted behaviors Food and nutrition Other The Nova Scotia SPCA can provide you with information on a variety of animal care and behavioral issues. Let us know if there is anything you'd like to learn about! Reference #1 First * Last * Relationship * Friend Family Member Co-Worker or Boss Veterinarian Other Contact Number * Alternate Contact Number Reference #2 First * Last * Relationship * Friend Family Member Co-Worker or Boss Veterinarian Other Contact Number * Alternate Contact Number Reference #3 First * Last * Relationship * Friend Family Member Co-Worker or Boss Veterinarian Other Contact Number * Alternate Contact Number *Only one of your references can be a family member Consent - I hereby verify that all information provided in this form is truthful and correct. I also permit The Nova Scotia SPCA to contact my references with the information I've provided. I hereby verify that all information provided in this form is truthful and correct. I also permit The Nova Scotia SPCA to contact my references with the information I've provided. * reCAPTCHA *
