Adoption Form
Smokey's Assistance Dogs Foundation Rescue is a non-profit adoption referral organization dedicated to placing unwanted and abandoned Dog/puppy into new, carefully screened homes. People who apply to adopt a dog through SADF must fill out an extensive application form, explaining why you wanted adopt a Dog/Puppy. How they plan to care for the dog and what kind of home you will provide. Application once received can be either approved or declined. Applicants can be declined if you cannot provide a suitable home for a dog.
You should hear within 7-10 days after your application is received. We will review our listing forms for available dogs.
Approved applicants are referred to those dogs most closely fitting their description of what they are looking for. Prospective adopters are under no obligation to accept any dog referred by SADF. If you feel a dog is not right for you, simply notify us We will continue to refer applicants we feel might be suitable until the right match is found. We will do our best to help you find a dog.
However, SADF can in no way guarantee an immediate placement.
Adopters should expect to spend some time working with SADF to find the best dog for their requirements.
SADF charges a non-refundable $10.00 processing fee to help cover administrative costs.
Actual adoption costs will vary for each dog. However, if we are successful in helping you adopt a dog, we would very much appreciate a further donation.
SADF is non-profit and depends on such donations to continue operating THANK YOU FOR ADOPTING THROUGH SADF!
ADOPTION APPLICATION
The answers you give on this application help us to find the best possible match between you and the dogs available through SADF.
Please fill out the form completely and return it with $10.00 processing fee to our mailing address
If no phone number or personal reference is given, this application will be discarded.
Name:___________________________________
Address:_______________ City:______ Province:____ Postal Code:_____
Home Phone: ___________ Work Phone:__________
Best time to call:_________________
Occupation:______________________
E-Mail Address: _____________________
Personal reference:
Name:_____________________
Relationship:___________________
Phone:_____________________________
Do you own or rent your home? _________
If rent, do you have landlord's permission to keep a dog? ______
Landlord's name and phone number? __________
Do you live in (circle) house * apartment * trailer * other * describe
How long have you lived at this address?
If less than one year give previous address___________
Do you have a fenced yard? _________________
Fence height & type________________
Does fencing completely enclose a yard for dog? ______
If no fence, how will you handle dog's exercise and toilet duties?
Do you have a separate kennel run?
Height and size_____________________
How many adults in household? ____________
How many children? __________________
Age and sex of children? _________
Are there regular visitors to your home, human or animal, with which your new dog must get along?
Describe__________________________________
Do you own other dogs? __________________
Are they spayed or neutered? ___________________
Give breed, sex and age of each: _______________
Do you own cats? ________ How many? _____
Any other animals you own? _______
Do you have a regular veterinarian? _____
Name? __________________________________
Address and phone number? ______________
How many dogs have you owned in the last five years? __
Give breed and list if you still own dog____________
If not, what happened to dog (be specific)
Circle all plans for this dog
Pet * guard * hunting obedience * search & rescue * other
If other, please describe_________
Do you want to adopt (circle)
Male Female No preference Color or Age preference
I have marked my preferences above, but would be willing to consider a suitable dog of a different (circle) sex color age
Where will the dog spend the day? (Circle what applies)
Loose indoors * Crate * Basement * Garage * Fenced Yard * Loose outdoors *Tied up outside * Kennel run * other * describe
How many hours, on average, will dog spend alone? _____
Where will dog spend the night? (Circle what applies)
Loose Indoors * Crate *Basement * Garage * Fenced Yard * Loose Outdoors * Kennel run * Tied up outside * other * describe
Do you understand SADF requires this dog to be spayed or neutered?
Do you agree to license this dog and give regular health care?
Do you agree to contact SADF is you can no longer keep this dog?
Would you be willing to have a representative of SADF visit your home by appointment? If not, why?
How did you hear about SADF?
We do not charge for dogs placed in new homes, other than to recover our expenses.
Actual adoption costs will vary for each dog; discuss this with a SADF representative.
Therefore, to continue our work, we ask for a donation if SADF is successful in matching you with a dog.
SADF is non-profit and depends on such donations to continue operating. All of the information I have given above is true and complete.
Should an unaltered dog be placed with me, I agree to have it neutered within one month of adoption or by a date agreed upon by yourself and a representative of SADF.
This dog will reside in my home as a pet. I will provide it with adequate food, water, shelter, training, affection and medical care.
I understand that SADF is a referral service and is not responsible for the accuracy of information received about the temperament, habits or physical condition of dogs available for adoption.
I understand that it is my responsibility to see and evaluate the dog for myself before agreeing to adopt it. I am in full agreement with these terms of adoption.
Smokey's Assistance Dogs Foundation is in no way liable or responsible for any damage, accident or injury resulting from the placement of a dog into my household.
___________________ ________________
Applicant signature Date
We reserve the right to refuse an applicant! Thank you for contacting SADF.
One of our representatives should be contacting you shortly after receiving your paperwork.
If you have not received a response (by phone or mail) in 10 working days, call SADF at (780) 478-0128
Leave your name and phone number. Return this form with $10.00 non-refundable processing fee to: our Mailing Address
A term of Adoption the following agreement specifies what we feel is required to provide a safe and loving home for a dog.
Please understand that the details of the contract reflect our concern that both owner and dog have a happy life together.
The conditions set forth are based on years of experience and a continuing commitment to see that our rescue dogs find safe and happy permanent homes.
We hope that you will understand that considerable emotional involvement time and energy go into insuring that our rescue dogs have the best possible second chance at life.
If I am successful in the adoption of a dog through Smokey's Assistance Dogs Foundation I herein promise and agree to the following conditions:
1. To keep this dog in my personal possession, provide proper and sufficient food, water, shelter, grooming and humane treatment at all times
2. If this dog has not already been spayed or neutered at the time of adoption,
I AGREE TO HAVE THIS DOG SPAYED OR NEUTERED AT MY EXPENSE within thirty days.
Proof of spaying or neutering will be provided in writing to Smokey's Assistance Dogs Foundation within ten days of surgery.
I will not allow this dog to breed or to be bred under any circumstances
3. To procure veterinary care at once if this dog becomes sick or injured and to keep current all vaccinations against rabies, distemper, parvo and corona viruses.
4. To provide this dog with an ID tag secured to a collar, which will be worn at all, times. In addition, SADF recommends tattooing or micro chipping as a means of permanent identification.
5. To obey any and all animal control regulations governing the area in which I live and to license this dog according to such regulations within two weeks of adoption
6. Not to sell, trade, transfer ownership, abandon or dispose of this dog in any way, but to notify SADF if I must relinquish custody of this dog
This includes release to family members.
7.To allow a SADF representative to examine the dog and its living conditions and to surrender it to said representative for return to SADF if the conditions are found to be unsatisfactory
8. To assume full responsibility for this dog's actions, and for any damage done by this dog.
9. To keep this dog as my household pet and companion. To insure that when outside and unattended, this dog is in a secure fenced yard or kennel run with adequate shelter from the elements.
To exercise this dog within a fenced yard or kennel run or by walking this dog on a leash, and to never allow this dog to run loose (except in an off-leash dog park) without adequate adult supervision.
To never chain or tie this dog without being in attendance.
10. To never allow this dog to be transported in the open bed of a pickup truck or other similar vehicle.
The undersigned hereby agrees to abide by the Terms of Adoption listed above.
_____________ _____________
Signature Date
____________ ____________
Witness Date
Sign and return this copy with your Adoption Application.
We suggest you make a copy for your own records
Back to the Directory 
To The How to Adopt Page
Back to the Rescue Page
Copyright 2000
Smokey's Assistance Dogs Foundation
All Rights Reserved
Revised: June 26, 2005
