Pets 4 Vets Canada
Program Application
Veteran Intake Form
Making sure we have the right companion for you is imperative. We collect this information to ensure you are a suitable candidate
1.
How did you serve?
Regular Force
Reserve Force
Member (RCMP)
2.
Which Branch of service?
Royal Canadian Navy
Canadian Army
Royal Canadian Air Force
Royal Canadian Mounted Police
3.
Were you released medically?
Yes
No
Prefer not to answer
4.
Do you have permission from the owner to have a pet?
Yes
No
N/A
5.
What is your level of activity
Couch Potato
I run to the store
Low level of activity
Moderate level of activity
CrossFit is life
High level of activity
6.
Does your property have a safe area for the pet (dog)?
Yes
No
7.
What type of pet are you looking for?
Dog
Cat
Other
*
8.
Please provide the best way to contact you in the space below.
(Required.)