Is the dog spayed/neutered?
Are vaccinations current?
Is the dog purebred?
If so, has the breeder been contacted?
If the breeder has not been contacted, why not?
Has the breed rescue been contacted?
Please provide details.
Why is your dog being placed for adoption?
If the dog is being surrendered for behavioural problems, would you be willing to keep the dog if the
problem can be resolved or controlled?
Is the dog good with children?
No If no, please explain
What are the ages of the children the dog has lived with?
How does the dog relate to:
How does the dog behave in the car?
Is the dog housebroken?
How long during an average day is your dog left alone?
Where is the dog kept during the day? ( Please be specific, crate etc.)
Where is the dog kept at night? (Please be specific, crate, bedroom etc.)
Is the dog crate trained?
Is your dog generally:
Tied up outside:
Used to running loose in a fenced yard:
Who is your dog's vet?
When was your dog’s last vet visit and what was s/he treated for?
Has your dog had obedience training?
If yes, what commands does your dog know?
Does your dog? (Please provide details)
Has your dog every bitten/nipped anyone?
If yes, please explain the circumstances.
How long have you owned the dog?
Where did you get the dog from?
Who were the previous owners?
What brand of dog food do you use?
What is the quantity fed, and the feeding times?
What are the exercise requirements for your dog?
Does your dog have any fears?
If yes, please provide details.
Please describe any other traits, characteristics, etc. that would be helpful to us in placing your dog in
the right home.
Are you willing to keep the dog until a new home can be found?
If no, please explain.
Have you been advised of our adoption procedures?
All dogs registered in our program, must be brought into Petsmart at least twice each month. We
showcase our dogs there every Sunday between noon and 4 p.m.
Dogs not brought into Petsmart on a regular basis will be considered withdrawn from our program.
You may reactivate the registration by contacting us.
To help us offset the cost of vet care, transportation, etc. we request a donation as follows to enroll
your dog in our program. All donations are tax deductible and a tax receipt will be issued to the
address on the first page of this form, unless otherwise advised.
If your dog is:
The donation fee is:
Neutered and vaccinated
Neither vaccinated or neutered
The donation and proof of vaccinations/neutering must be provided before your dog is registered in
I acknowledge that I am the legal owner of this animal and that all statements enclosed herein on this
form are true and factual.
The information collected in this application is strictly for use by The Animal Guardian
Society. Under no circumstance will information be given to any party for any purpose.
The Animal Guardian Society
A Charitable Corporation
We appreciate that giving up a pet for adoption can be a very difficult and emotional
experience. Our volunteers take every effort to ensure that a safe and suitable home is found.
The following information will provide you with knowledge of our adoption procedure, what services TAGS will
provide, and in turn what TAGS will require from you should you decide to enroll your pet in our program.
Should you have any questions or concerns, please feel free to contact us anytime at the above phone number or
What TAGS will do for you and your pet.
Review Owner Profile information
Screen all potential adopters, through application process
Taking your pet on home visits with potential adopters
Ensuring all medical work is completed prior to adoption, example spay/neuter etc.
Ensure that your pet will be mircochipped, should at anytime the pet become lost.
Ensure the completion of all paperwork including but not limited to adoption agreements.
Provide behaviour counseling and workshops for adoptive families
Provide ongoing support to the new owners as needed for the lifetime of the pet.
Your Responsibility to our Program
Complete the Owner information profile, providing facts about your pet to assist the
To provide a tax deductible donation, to help offset any incurred expense in the adoption process.
To bring your pet to Petsmart on Sundays between the hours of 12-4 p.m to increase awareness and for
potential adopters to meet. Should you not be able to bring the dog in, you will call to inform volunteers
or to arrange for pick up.
To return phone calls or e-mails from volunteers promptly and to notify the program of any relevant
changes to the adoption status of your pet. For example, decided to keep your dog.
Provide a complete medical history. Rabies vaccinations are normally only required once within a 3 year
period (Imrab 3). If unsure have our volunteers or your vet confirm.
Ensure that all information provided on the info sheet is not false or misleading, which could result in
harm to a potential adopter and result in the dog being returned to you the owner. Should this occur, you
as the owner, will be responsible for any medical costs incurred by The Animal Guardian Society.
We look forward to working together as a team to ensure the well being of your pet.
Our volunteers are dedicated and committed to the welfare of all animals in our program.
The Animal Guardian Society (TAGS)
Check this box when you are ready to submit your information.