Adoption Application Step 1 of 5 - Qualifications 20% Thank you for your interest in adopting a Korean rescue dog. Please complete the following form to submit your adoption application. We respect your privacy. The information you provide in this application will not be shared outside of the organization.Desired DogDog Profile If you wish to adopt a specific dog, please go to that dog's profile and click the "Adopt Me" button. You may also submit an application without selecting a dog, in which case we will do our best to match you with a compatible dog based on your responses.QualificationsHave you read the adoption process information on our website prior to completing the application?*Read the FAQ here (opens in a new tab)YesNoDo you live in one of the following cities: Greater Toronto Area, Barrie, Brantford, Cambridge, Guelph, Hamilton, Kitchener, Waterloo, Ottawa, Greater Vancouver Area, Victoria, Duncan, or Nanaimo? *Please note that we cannot take applications from other cities.*YesNoDo you agree to pay the adoption fee of CAD$720 (tax included)? *The adoption fee for special needs dogs or seniors over 8 year old is CAD$280.*YesNoAre there children under 9 years old in your household?*YesNoDo you have a criminal record?*YesNoHave you ever surrendered a pet?*YesNoHave you ever bred dogs?*YesNoAre you 25 or older?*YesNoAre you a Canadian citizen or permanent resident?*YesNoIs your annual household income greater than $40,000?*YesNoSorry, but you do not currently qualify to adopt a dog from Free Korean Dogs. Personal InformationName* First Last Email* Enter Email Confirm Email Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone*Date of BirthFormatted as YYYY-MM-DD (example: 1980-06-27) Date Format: YYYY dash MM dash DD Age*Occupation*Do you live with a spouse or common law partner?*YesNoPartner's Name* First Last Partner's Phone*Partner's Email* Enter Email Confirm Email Additional informationAnything else you would like to add about yourself! Household InformationIn what type of home do you live?*HouseApartment/CondoMobile HomeDo you own or rent your home?*OwnRentDoes your landlord welcome dogs in your home?*YesNoDo you have a fenced in and completely secure yard?*YesNoHousehold Occupants*For each member of your household, please list their first name, current age, occupation and your relationship to this person. (example: Susan, 28, student, sister)First NameCurrent AgeOccupationRelationship Do all members of the household consent to adoption?*YesNoHow soon are you able to bring your dog home?*ImmediatelyAfter 1 week from todayAfter 1 month from todayHow many consecutive hours will the dog be left alone?*If you are away from home for over 5 hours, how do you plan on meeting their mid day potty/socialization needs?*What are your thoughts on crating your dog?*Does anyone in your home have pet related allergies?*YesNoDo you currently have pets in your home?*YesNoHousehold Pet Information*For each pet in your household, please provide the species, breed, age, and whether or not they are spayed/neutered. (example: dog, poodle, 7 years, spayed)SpeciesBreedNameAgeSpayed/NeuteredVaccinations up to dateMicrochipped What is your position on annual vet visits and up to date vaccinations?*My current pets are up to date. I intend on providing up to date wellness and vaccinations.I go to the vet when needed, but not on a yearly basis. My pets are in good health.Have you used a veterinary clinic within the past 5 years?*YesNoVeterinary Clinic Name*Veterinary Clinic Phone* Personal ReferencePlease provide the name and information of a personal reference. We are unable to accept family members, significant others, or members of the household as references.Reference Name* First Last Reference Relationship*How do you know this person? (example: friend, employer, work colleague, etc.)Reference Email* Enter Email Confirm Email Reference Phone* Terms and ConditionsTo complete your application, you must review and agree to all adoption terms and conditions. Please consider each item carefully before submitting your application.Adoption Agreement Terms and Conditions:* I verify that I am 25 years of age or older. I agree to pay the adoption fee of CAD$720 tax included. For dogs with special needs or dogs that are 8 years of age or older, I agree to pay an adoption fee of CAD$280 tax included. (If we are unable to ship the dog to you within two (2) months, you will receive a full refund.) I agree that the adoption fee is non-transferable and non-refundable once the dog has been delivered to me. I confirm that this dog is being adopted solely by me. The dog will not be sold, adopted, or given by any other means to another party. If at any point I am unable to keep the dog for any reason, I agree to surrender the dog to Free Korean Dogs. If in the event I decide to surrender back to the care of Free Korean Dogs, I understand a formal surrender request and $250 surrender fee (non-refundable) will apply. I agree to use a martingale collar and H-type harness for dogs under 6 kg. I agree to follow the Safety Equipment Protocol for Jindo mix breeds or any dog over 6 kg. I agree that this dog will not be allowed outdoors without supervision. I agree that the dog will wear a name tag at all times, both indoors and outdoors. I agree not to keep the dog in a locked crate. I agree that this dog is to be a companion animal only, not a guard dog, and that this dog will live inside my home. I agree not to physically or emotionally abuse, neglect, starve or harm the dog in any way. I agree that the dog must receive an annual veterinary checkup, and will provide a written statement of the dog’s first annual checkup to Free Korean Dogs. I agree to register this dog with www.24petwatch.com. I agree to purchase a pet license from my municipal animal services department. I agree to send regular written updates on the status of my adopted dog to Free Korean Dogs. Update will be sent bi-weekly for the first 3 months and bi-monthly for the remainder of the first year. Updates will include a written summary, photos and videos. I agree to care for this dog in a humane manner, which includes supplying adequate food, water, shelter, attention, and medical care. If the dog is lost, I agree to take immediate action to locate the dog. I agree to contact local animal control and Free Korean Dogs if the dog is not recovered within 12 hours of being lost. I agree to never leave the dog unattended with infants, children or other animals for a minimum of three months after adoption. I understand and agree that Free Korean Dogs makes no guarantees about the dog's temperament and is not responsible or liable for future damage or injury caused by the dog. I give Free Korean Dogs permission to phone or visit my home at any reasonable time to assure that the dog is receiving proper treatment and care. I agree to update Free Korean Dogs of any change in my current home address and contact information (i.e. phone number, email address). I agree that all statements made in the adoption application are true to the best of my knowledge. If it is discovered that any statements I have made are found to be false, the adoption agreement is void and the dog may be confiscated at the sole discretion of Free Korean Dogs. I agree that I may not euthanize the dog except in the case of the dog's terminal illness or injury, or old age accompanied by pain and suffering. In such a case I agree to consult with Free Korean Dogs before proceeding, and that the euthanasia must be performed by a licenced veterinarian. I agree that I must notify Free Korean Dogs and obtain agreement from Free Korean Dogs PRIOR to planning any trips outside North America with the dog(s). Should Free Korean Dogs deems the trip as unsafe for the dog(s), Free Korean Dogs reserves and holds the right to recover the dog(s) from you upon demand. I agree that this adoption agreement may be specifically enforceable by Free Korean Dogs through judicial proceedings, including the right of Free Korean Dogs to recover the dog due to any breach in the terms of this agreement. In the event that I breach this agreement and Free Korean Dogs files suit to enforce or defend the terms of this agreement, I agree to pay any court costs and/or legal fees incurred by Free Korean Dogs in connection herewith. Signature*Write your signature inside the box to confirm your agreement.UntitledFirst ChoiceSecond ChoiceThird ChoiceUntitled First Choice Second Choice Third Choice