ADOPTION APPLICATION

Please take note of the following important information prior to submitting your application:

• Please answer all questions and provide specific details when requested.
• CCRT will contact your veterinary clinic (if you currently have pets or have had them in the last 5 years) to confirm you have taken your pet(s) at least one time per year for an annual wellness check and vaccinations/heartworm prevention as applicable.
• CCRT abides by local maximum pet ownership by laws and will verify your town/city’s household pet limits. If you have reached or exceed the limit, unfortunately, we cannot process your application.
• All potential adoptive homes must complete a ‘meet and greet’ with the foster family and foster dog, in the city where the foster dog is located. If your application is approved, you must also travel back to that city to pick up your new furry family member. Note, the majority of our foster homes are in Ontario and you’ll find the city and province where the foster dog is being kept in their profile.
• If you have not taken your pet(s) to the vet at least one time per year for wellness checks and/or you are unable to travel for meet and greets/dog pickup, your adoption application will not be approved and you may wish to reconsider submitting it.
• CCRT charges an adoption fee and these fees help to cover the vet expenses incurred by the CCRT. All dogs are spayed/ neutered, microchipped and up to date on vaccinations and heartworm preventative (if applicable) before ownership is transferred to an adoptive home.
• Failure to provide a thorough and well completed application prevents us from processing it.

If you understand the above points and are confident you meet all requirements, including the need to travel, please complete the following application:

COVID 19 PRECAUTIONS: All home visits will be conducted with the health and safety of the applicant and our volunteers in mind. CCRT volunteers conducting your home visit will be free of all pandemic related symptoms and will wear a mask for the duration of the visit. Applicants and all household members must also be free of pandemic related symptoms and will be required to wear masks for the duration of the home visit. Physical distancing will be practiced at all times. Upon arrival or at any time during the home visit, if the applicant or CCRT volunteer feels unsafe in anyway, the home visit will be rescheduled.

In many cases, we receive multiple adoption applications for the same foster dog. We do not adopt out our dogs on a ‘first come, first served’ basis. Instead, all applications are reviewed with a goal of finding the most suitable forever home for the dog.

Adoption Application

First and Last Name *

(Please ensure the name above matches the name on your photo identification which will be verified by a CCRT volunteer)

Email Address *

Street Address *

City *

Province * OntarioGreater Toronto Area (GTA)Southwestern OntarioNorthern OntarioEastern OntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaPrince Edward IslandQuebecSaskatchewanNorthwest TerritoriesNunavutYukon

Postal Code *

Phone Number (with area code) *

Alternate Phone Number (with area code)

Age Category *

Under 18

18-30

31-49

50-64

65-74

75 and better

Prefer Not to Answer

Occupation *

Please list the first and last names and ages of everyone occupying your residence, including spouse/partner, children (under 18 years old), other family members, roommates, etc. *

Are all members of your household aware you would like to adopt a dog and do they approve? *

Yes

No

REFERENCES - CCRT may contact your references to discuss your application and your previous experience with pets. Your references cannot be related to you nor live in your home and must know you for at least 2 years.

Reference #1 – First and Last Name: *

Relationship *

Phone Number (with area code) *

Email Address *

Reference #2 – First and Last Name: *

Relationship *

Phone Number (with area code) *

Email Address *

Do you have a friend or family member that is a CCRT volunteer? If yes, please let us know who they are.

YOUR PETS: When answering the questions below, please note “pets” includes dogs, cats, birds, reptiles, small rodents or any other animal kept by you/your family as a companion animal.

Do you currently own any pets? *

Yes

No

If yes, please tell us about them, including type of pet, breed, name, gender and age. Please also include where you got them and how long you’ve had them.

What is the maximum number of cats/dogs you are allowed to own as regulated in your town/city by laws? This information is readily available on your town/city’s website. *

Do your pets get annual wellness checkups, vaccinations and heartworm prevention (where geographically necessary)? A reminder CCRT will contact your veterinarian to confirm this information. *

Yes

No

If no, why have you chosen not to have annual wellness checkups, vaccinations and/or heartworm prevention for your pet?

Are your pets spayed or neutered? *

Yes

No

If no, why have you chosen not to spay/neuter your pet?

As a rescue organization, CCRT strongly advocates against the unnecessary breeding of pets. If your pets are not spayed/neutered, unless under medical or other orders from your veterinarian, CCRT will not able to proceed with your application. Do you understand? *

Yes

No

Have you ever given away a pet or surrendered one to a rescue, shelter etc? *

Yes

No

If you answered yes, please describe the circumstances surrounding this decision.

Have you owned animals in the past not listed above? *

Yes

No

If yes, tell us about previous pets (type, breed, name, where you got them, how long they lived with you, etc.) and why they are no longer with you.

Have you ever been convicted of animal cruelty under any municipal, provincial/state or federal regulations or laws? *

Yes

No

Please provide the veterinary clinic name(s) and phone number(s) for ALL veterinarians your pet(s) has seen for the last 5 years so we may confirm their medical care. Please include the month/year you started and stopped attending each clinic, as applicable. If you have not had your pet(s) for 5 years, simply indicate this below. As noted above, CCRT may not process your application if information requested is not provided and/or your pet(s) have not received basic medical care. *

RESCUE DOG: If you are interested in adopting a specific dog, please provide that dog's name. Feel free to list more than one or leave this field blank if you have no preference. If you don’t have a preference, please tell us about the Chihuahua you hope to adopt.

Name(s) of preferred CCRT foster dog

Preferred age *

Any age

Up to 5 years old

5 years and older

Preferred size *

Any size

Up to 6 pounds

6 to 10 pounds

10 pounds and over

Gender *

Male

Female

No preference

Will you consider adopting any Chihuahua (different from age, size or gender preference indicated above) that comes into rescue? *

Yes

No

YOUR HOUSEHOLD

Type of Residence *

Single Family Home

Apartment or Condo

Townhouse or Garden Home

Farm

Mobile Home

Other

Do you: *

Rent

Own

If you rent your home, please provide your landlord’s email address and/or complete telephone number below. We will communicate with them to ensure you are abiding by any pet rules or condo by-laws in your lease.

Do you have tenant/homeowner’s insurance, including liability insurance? *

Yes

No

If you indicated above there are children (under 18 years old) in your household, how much of the responsibility will they be given for the care and management of the dog? *

Maximum

Some

Minimal

None

There are no children in my household

How much adult supervision will be provided when the dog and child are together? *

Maximum

Some

Minimal

None

There are no children in my household

If there are no children in your household, how often will the dog come into contact with children? *

Often

Occasionally

Never

Does anyone in the home have allergies or sensitivities to pet dander/hair? *

Yes

No

If yes, how do you intend to manage these allergies/sensitivities with a new dog in your care?

All adoptive homes must undergo a home visit/check before their application is reviewed by the CCRT Committee. Are you willing to permit a home visit by a CCRT representative? Please note you will be required to show a piece of photo ID to the CCRT volunteer conducting the home visit to confirm your identity. *

Yes

No

DOG CARE/ EXPERIENCE

Do you have any experience with rescued animals? If so, please detail and describe this experience. Note, this experience is not a mandatory requirement to adopt from CCRT. *

Rescue dogs will go through a period of adjustment when entering a new home. For example, they may become extremely shy, somewhat aggressive or display other negative behaviour. They may also start doing their 'business’ inside the house or may not eat at their regular meal times. Describe how you will work with your new dog to ensure this adjustment is smooth and as trouble free as possible. *

How many hours a day will the dog be left alone? Note, we understand most families are gone during working hours; this question is asked so we may identify homes best suited for some dogs requiring all day care. *

Where will the dog be kept when alone? (please be specific i.e. crate, room, run of house etc.) *

Where will the dog be kept during the day? *

Where will the dog be kept at night? *

Where will the dog be kept when the family is home? *

What is the level of activity in your household? *

Laid back

Constantly on the run

A regular mix of laid back and on the run

Do you have any experience in training a dog or behaviour modification? If so, please explain, noting this experience isn’t mandatory to become a CCRT adoptive home. *

How would you encourage or reinforce the dog's appropriate (good) behavior? *

Do you have a yard that is securely fenced to contain a small dog? If not, how will you exercise your dog and/or allow it to eliminate outdoors? *

Do you have a swimming pool in your yard or on your property? If so, please describe the fence/security around the pool. *

Are you prepared to travel for ‘meet and greets’ and to pick up your new furry family member if your application is approved? You are responsible for all travel costs and a reminder, at this time, most CCRT foster homes are located in Ontario. *

Yes

No

Agreement to Terms

Please provide any additional information or comments that you believe are important to your application.

I hereby certify that all statements made herein make full disclosure and are true. Should there be any change in the circumstances as stated above, I will notify the CCRT as soon as possible. *

Yes, I understand and agree

No, I do not agree

Please indicate you are aware your application must be approved before adoption of a CCRT rescue dog can take place. *

Yes, I understand and agree

Please indicate you understand that if you are a successful candidate in the adoption process, your personal information will be shared with Petpoint, 24 Petwatch, OSPCA Pet Insurance and Royal Canin. *

Yes, I understand and agree

Please indicate you have read the full application, understand its meaning and agree to its terms by clicking the button below. *

Yes, I have read this application and fully understand its meaning and agree to its terms

I have read, agree with & will adhere to the CCRT Safety Policy

Yes

No

Submission Guidelines

All fields must be thoroughly completed before submission. A reminder incomplete applications cannot be processed. Press the submit button once and wait for the results of your application. An automatically generated response will be sent to you to confirm your application has been received by the CCRT. The CCRT receives dozens of applications on a weekly basis and we ask for your patience as our volunteers make time to reply to you. Thank you again for your interest in the CCRT.

If you are human, leave this field blank.