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.QualificationsDo you live in one of the following cities: Greater Toronto Area, Barrie, Brantford, Cambridge, Guelph, Hamilton, Kitchener, London, Waterloo, Ottawa, Montreal, Greater Vancouver Area, Langley or Surrey?*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 5 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 & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone*Date of Birth*Formatted as YYYY-MM-DD (example: 1980-06-27) Occupation*Do you live with a spouse or common law partner?*YesNoPartner's Name* First Last Partner's Phone*Email* Enter Email Confirm Email 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 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/Neutered 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. No family members please.Reference Name* First Last Reference Relationship*How do you know this person? (example: friend, employer, work colleague, etc.)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 Terms* I agree that this dog is being adopted for myself and will not be sold, re-adopted, or given by any other means to another party including family members. I agree that, if for any reason I cannot keep this dog, I will return the dog to Free Korean Dogs. (The adoption fee is non-refundable.) I agree that this dog will not be allowed outdoors without supervision. While outdoors, the dog will be on a secure harness and wear a name tag at all times. I agree not to crate the dog on an ongoing basis (i.e. not for training purposes). I agree that this dog is to be a companion animal, 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. 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 the first three months after adoption. I understand and agree that Free Korean Dogs 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 to my current home address or phone number. I agree to provide us with regular update on the status of the dog, which may include photos and videos of the dog for one year after adoption. I understand and agree that Free Korean Dogs is not responsible or liable for future damage or injury caused by the dog. I agree that all statements I have made in the application are true. If any statements I have made on this application are found to be not true, the adoption agreement is void and the dog may be confiscated at the discretion of Free Korean Dogs. I recognize that this 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 of the terms of this agreement. Signature*Write your signature inside the box to confirm your agreement.
