{"id":2674,"date":"2019-06-26T13:36:04","date_gmt":"2019-06-26T13:36:04","guid":{"rendered":"http:\/\/chuv.umontreal.ca\/english\/?page_id=2674"},"modified":"2022-11-21T16:53:22","modified_gmt":"2022-11-21T20:53:22","slug":"dog-adoption-form","status":"publish","type":"page","link":"https:\/\/chuv.umontreal.ca\/english\/the-shelter\/dog-adoption-form\/","title":{"rendered":"Dog adoption form"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text]<\/p>\n<h1><strong>Dog adoption form<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<strong>BEFORE ADOPTING<\/strong><\/p>\n<p>We will assess whether the dog you are interested in or any other dog present at the shelter could fit in well with your environment and that it corresponds to your needs and your lifestyle. It is important to find the &#8220;perfect match&#8221; as much as possible to avoid disappointments or future retirements.<\/p>\n<p>The decision is made in the best interests of the adopters and the animal, and a negative response does not diminish your merit as an adoptive family.<\/p>\n<p>Thank you for your interest in our animals!<\/p>\n<p><strong>*: required field<\/strong>[\/vc_column_text]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2673-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"2673\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/english\/wp-json\/wp\/v2\/pages\/2674#wpcf7-f2673-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2673\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2673-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p>GENERAL INFORMATION\n<\/p>\n<p><label> Full name*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Email:*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p><label> Phone: *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Tlphone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Tlphone\" \/><\/span> <\/label>\n<\/p>\n<p><label> Address *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Municipalit\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Municipalit\" \/><\/span> <\/label>\n<\/p>\n<p>LIVING ENVIRONMENT\n<\/p>\n<p><label> How many adults live with you?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adultes\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"adultes\" \/><\/span> <\/label>\n<\/p>\n<p><label> If applicable, age of children who will be in frequent contact with the dog:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Ageenfants\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Ageenfants\" \/><\/span> <\/label>\n<\/p>\n<p><label> Is there anyone in your family who is allergic to animals?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Allergies\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"Allergies\"><option value=\"S\u00e9lectionnez une r\u00e9ponse\">S\u00e9lectionnez une r\u00e9ponse<\/option><option value=\"No\">No<\/option><option value=\"Yes\">Yes<\/option><option value=\"I&#039;m not sure\">I&#039;m not sure<\/option><\/select><\/span> <\/label>\n<\/p>\n<p><label> I mainly live:* <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Lieursidence\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Lieursidence\"><option value=\"S\u00e9lectionnez une r\u00e9ponse\">S\u00e9lectionnez une r\u00e9ponse<\/option><option value=\"In the city\">In the city<\/option><option value=\"suburbs\">suburbs<\/option><option value=\"In the countryside\">In the countryside<\/option><\/select><\/span>\n<\/p>\n<p><label> In:* <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Foyer\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Foyer\"><option value=\"S\u00e9lectionnez une r\u00e9ponse\">S\u00e9lectionnez une r\u00e9ponse<\/option><option value=\"Appartment\">Appartment<\/option><option value=\"Condo\">Condo<\/option><option value=\"House\">House<\/option><option value=\"Other\">Other<\/option><\/select><\/span>\n<\/p>\n<p><label> I am*: <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Proprit\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Proprit\"><option value=\"S\u00e9lectionnez une r\u00e9ponse\">S\u00e9lectionnez une r\u00e9ponse<\/option><option value=\"Owner\">Owner<\/option><option value=\"Tenant, but I am allowed to own a dog\">Tenant, but I am allowed to own a dog<\/option><\/select><\/span>\n<\/p>\n<p><label> I plan to move in the next few years:* <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"demenag\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"demenag\"><option value=\"S\u00e9lectionnez une r\u00e9ponse\">S\u00e9lectionnez une r\u00e9ponse<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"I don&#039;t know\">I don&#039;t know<\/option><\/select><\/span>\n<\/p>\n<p><label> How many hours on average do you have to spend outside your home per day (for work or other reasons)?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"heuresabsent\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"heuresabsent\" \/><\/span> <\/label>\n<\/p>\n<p><label> When I am away the dog will be: (obligatoire)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Environnement\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Environnement\"><option value=\"S\u00e9lectionnez une r\u00e9ponse\">S\u00e9lectionnez une r\u00e9ponse<\/option><option value=\"Free in the house\">Free in the house<\/option><option value=\"Caged in the house\">Caged in the house<\/option><option value=\"Outside\">Outside<\/option><option value=\"Isolated in a room\">Isolated in a room<\/option><option value=\"It will depend on his behavior\">It will depend on his behavior<\/option><option value=\"Other (explain)\">Other (explain)<\/option><\/select><\/span>\n<\/p>\n<p><label> Explications:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"explicabsence\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"explicabsence\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><label> If you currently have animals, what types of animals do you have and how many?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Autresanimaux\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"Autresanimaux\"><\/textarea><\/span> <\/label>\n<\/p>\n<p>EXPERIENCE\n<\/p>\n<p><label> Have you ever had a dog?* <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Exprience\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Exprience\"><option value=\"S\u00e9lectionnez une r\u00e9ponse\">S\u00e9lectionnez une r\u00e9ponse<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span>\n<\/p>\n<p><label> Which of the following would make you consider abandoning your pet?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Historiqueanimaux\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"Historiqueanimaux\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><label> Lesquelles des situations suivantes vous feraient consid\u00e9rer l'abandon de votre animal?(obligatoire)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Raisonabandon\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">Agression<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"Agression\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Bites<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"Bites\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Fearful animal<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"Fearful animal\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Uncleanliness<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"Uncleanliness\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Marking inside<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"Marking inside\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Destruction<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"Destruction\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Significant vocalizations<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"Significant vocalizations\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Conflict with other animals in the house<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"Conflict with other animals in the house\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Significant nocturnal activity<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"Significant nocturnal activity\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Allergy to the animal<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"Allergy to the animal\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Birth<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"Birth\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Moving<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"Moving\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Separation<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"Separation\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">wew spouse<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"wew spouse\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Financial problems<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"Financial problems\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Lack of time<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"Lack of time\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Animal disease<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"Animal disease\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Owner&#039;s disease<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"Owner&#039;s disease\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">None<\/span><input type=\"checkbox\" name=\"Raisonabandon[]\" value=\"None\" \/><\/span><\/span><\/span>\n<\/p>\n<p><label> Have you planned a budget for food, basic care and any unforeseen veterinary expenses? <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"budget\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"checkbox\" name=\"budget[]\" value=\"Yes\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">No but I plan to do it<\/span><input type=\"checkbox\" name=\"budget[]\" value=\"No but I plan to do it\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">Yes and I plan to take out health insurance for my pet<\/span><input type=\"checkbox\" name=\"budget[]\" value=\"Yes and I plan to take out health insurance for my pet\" \/><\/span><\/span><\/span>\n<\/p>\n<p>EXERCISE AND TRAINING\n<\/p>\n<p><label> What type (s) of activity or exercise will you do with your dog:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"typeactiv\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">Walk<\/span><input type=\"checkbox\" name=\"typeactiv[]\" value=\"Walk\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Jogging<\/span><input type=\"checkbox\" name=\"typeactiv[]\" value=\"Jogging\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Dog park<\/span><input type=\"checkbox\" name=\"typeactiv[]\" value=\"Dog park\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Any<\/span><input type=\"checkbox\" name=\"typeactiv[]\" value=\"Any\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">Other<\/span><input type=\"checkbox\" name=\"typeactiv[]\" value=\"Other\" \/><\/span><\/span><\/span>\n<\/p>\n<p><label> If other, specify:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"autreactivite\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"autreactivite\" \/><\/span><\/label>\n<\/p>\n<p><label> How willing would you be to train your dog to improve unwanted behaviors (dirtiness, pulling on a leash, barking, chomping on objects, etc)? <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"entrain\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">Just a little bit<\/span><input type=\"checkbox\" name=\"entrain[]\" value=\"Just a little bit\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Moderately<\/span><input type=\"checkbox\" name=\"entrain[]\" value=\"Moderately\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Many<\/span><input type=\"checkbox\" name=\"entrain[]\" value=\"Many\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">I would rather not have to train my dog<\/span><input type=\"checkbox\" name=\"entrain[]\" value=\"I would rather not have to train my dog\" \/><\/span><\/span><\/span>\n<\/p>\n<p>YOUR PERFECT MATCH\n<\/p>\n<p><label> I have a preference for a dog at the shelter (specify its name):<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Nomchien\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Nomchien\" \/><\/span> <\/label>\n<\/p>\n<p><label> Age preference:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Ageideal\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"Ageideal[]\" value=\"Puppy\" \/><span class=\"wpcf7-list-item-label\">Puppy<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"Ageideal[]\" value=\"Teenager (6-12 months)\" \/><span class=\"wpcf7-list-item-label\">Teenager (6-12 months)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"Ageideal[]\" value=\"Adult\" \/><span class=\"wpcf7-list-item-label\">Adult<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"Ageideal[]\" value=\"Senior\" \/><span class=\"wpcf7-list-item-label\">Senior<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label> Gender preference:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sexe\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"sexe[]\" value=\"Male\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"sexe[]\" value=\"Female\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label> I prefer purebred dogs (name the breed (s)):<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"race\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"race\" \/><\/span> <\/label>\n<\/p>\n<p><label> My favorite dog size :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"format\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"format[]\" value=\"Small\" \/><span class=\"wpcf7-list-item-label\">Small<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"format[]\" value=\"Medium\" \/><span class=\"wpcf7-list-item-label\">Medium<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"format[]\" value=\"Large\" \/><span class=\"wpcf7-list-item-label\">Large<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label> The characteristics of my ideal dog are (check all that apply):<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"caract\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">Sociable<\/span><input type=\"checkbox\" name=\"caract[]\" value=\"Sociable\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Playful<\/span><input type=\"checkbox\" name=\"caract[]\" value=\"Playful\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Active<\/span><input type=\"checkbox\" name=\"caract[]\" value=\"Active\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Calm or quiet<\/span><input type=\"checkbox\" name=\"caract[]\" value=\"Calm or quiet\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Affectionate<\/span><input type=\"checkbox\" name=\"caract[]\" value=\"Affectionate\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Independant<\/span><input type=\"checkbox\" name=\"caract[]\" value=\"Independant\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">Others (explain)<\/span><input type=\"checkbox\" name=\"caract[]\" value=\"Others (explain)\" \/><\/span><\/span><\/span>\n<\/p>\n<p><label> Other characteristics:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"autrescaract\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"autrescaract\"><\/textarea><\/span><\/label>\n<\/p>\n<p><label> I would be interested in a humanitarian adoption:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adopthuman\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">No, I prefer a healthy dog<\/span><input type=\"checkbox\" name=\"adopthuman[]\" value=\"No, I prefer a healthy dog\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Aged dog<\/span><input type=\"checkbox\" name=\"adopthuman[]\" value=\"Aged dog\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Special care or chronic health problem<\/span><input type=\"checkbox\" name=\"adopthuman[]\" value=\"Special care or chronic health problem\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Dog that need behavioral training<\/span><input type=\"checkbox\" name=\"adopthuman[]\" value=\"Dog that need behavioral training\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Physical disability (ex: one eye or amputee)<\/span><input type=\"checkbox\" name=\"adopthuman[]\" value=\"Physical disability (ex: one eye or amputee)\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">End of life<\/span><input type=\"checkbox\" name=\"adopthuman[]\" value=\"End of life\" \/><\/span><\/span><\/span>\n<\/p>\n<p>IN SUMMARY\n<\/p>\n<p><label> Why would you be the perfect family to adopt a dog?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ideal\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"ideal\"><\/textarea><\/span><\/label>\n<\/p>\n<p><label> I understand that adopting is a commitment, for better or worse, for the next 15 years.* <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"duree\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"duree[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label> I certify that the information provided in this form is true.* <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"veridique\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"veridique[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><\/span><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[vc_column_text]<strong>Given the large number of forms we receive, only families with a profile adapted to the chosen animal will be contacted.<\/strong><\/p>\n<p><strong>Thank you and have a nice day!<\/strong>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text] Dog adoption form [\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]BEFORE ADOPTING We will assess whether the dog you are interested in or any other dog present at the shelter could fit in well with your environment and that it corresponds to your needs and your lifestyle. It is important to find the &#8220;perfect match&#8221; as much as possible to avoid&hellip;<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":2664,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2674","page","type-page","status-publish","hentry","description-off"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Dog adoption form - Internet English<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/chuv.umontreal.ca\/english\/the-shelter\/dog-adoption-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dog adoption form - Internet English\" \/>\n<meta property=\"og:description\" content=\"[vc_row][vc_column][vc_column_text] Dog adoption form [\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]BEFORE ADOPTING We will assess whether the dog you are interested in or any other dog present at the shelter could fit in well with your environment and that it corresponds to your needs and your lifestyle. 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