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Adoption Application No Animal Name
Application and Enquiry form
Name of the Dog you are interested in (required)
*
Name
*
First
Last
Email
*
Phone
*
Help Us Get To Know You
Address
*
Street Address
Address Line 2
City
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Age
*
Please enter a number from
16
to
99
.
Work Status
*
Full Time
Part Time
Self Employed
Unemployed
Other
If Other Work Status, please specify:
*
Your Home And Family
How many adults live in your household?
*
How many children live in your household?
*
What are the children's ages?
*
How many other dogs do you have?
*
What are your dogs breeds, sexes and ages?
*
Are all current dogs desexed and vaccinated (proof may be requested)
*
Yes
No
If you own any other pets, please list here:
*
Current living status:
*
Home Owner
Renting
Boarding
Live With Parents
Other
If Other Living Status, please specify:
*
We will need documentation showing that you have landlord approval for a dog
*
I Agree
We may need proof of ownership (e.g. council rates)
*
I Agree
Approximate size of fenced area where your dog will have access and be secure:
*
Please attach photos (must be .jpg, .jpeg, .png or .bmp, max size is 5mb per photo)e
Drop files here or
Select files
Accepted file types: jpg, jpeg, png, bmp, pdf, Max. file size: 8 MB, Max. files: 3.
What type of fencing do you have?
*
Your History
How many dogs have you owned before?
*
What breeds of dog have you owned?
*
Which Vet(s) have you used?
*
Have you had to surrender a dog before?
*
Yes
No
The Puppy / Dog In Your Home
Where will the animal live (e.g Inside/Outside - Sleeping Inside, Inside Only, Strictly Outside)
*
How will you keep your animal amused while at work or away from home?
*
How many hours will the dog/puppy be alone each day?
*
When on holidays, what will you do with your dog?
*
What would you do if your dog started jumping your fences?
*
What would you do if you had to move into a rental where no pets were allowed?
*
Have you ever had to provide serious Vet treatment for a pet?
*
Yes
No
Please provide details of treatment and cost involved:
*
What would you do if your pet needed a serious operation costing over $1000?
*
Is there anything else we should know in assessing your application?
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