Required fields are marked with asterisks (*)

Welcome

We ask that you please fill out this application form to the best of your ability. By filling out and submitting this form you are consenting to your name and contact information being saved for future use when trying to rehome a dog.

The Township of North Glengarry will keep your information and contact those who are on the list of potential new homes. Please be advised there will be a $200 adoption fee for the dog.

First Name

Last Name

Street Address

Town/Hamlet

Province

Postal Code

Phone Number

Email Address

Do you rent or own your home?

Rent

Own

Please describe your property (some dogs require more space than others and the Township of North Glengarry wants to ensure it is a proper fit for both the new owner and the dog).

Will the dog be around small children?

Yes

Do you have other pets?

Yes

If you answered YES to the previous question, please list the pets you currently have.

Please select the size of dog you are willing to adopt.

Small

Medium

Large

Would you be looking to adopt a high energy dog?

Yes

Please tell us a little about why you want to adopt a dog.

Do you have any questions for us?

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