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Raffle Ticket
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Singlet – Ladies
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Singlet – Men’s
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Tiki Car Decal
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Tiki Keyring
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Tiki Stubby Cooler
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Tiki Wine Cooler
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Tiki Christmas Cards
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Tiki Candle
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Tiki Tote Bag
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Tiki Ladies T-Shirt
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Tiki Unisex T-Shirt
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Tiki Men’s T-shirt
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Tiki Animal Rescue Mug
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Tiki Pen (rubber grip)
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NEWS FROM FACEBOOK

Form for Surrendering Your Animal to Tiki

Your Basic Infromation
Your Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
About Your Pet
Name*
Pet Name
Date of Birth
DD slash MM slash YYYY
Breed
Gender
- Male
- Female
Size
- Under 10kg
- 10-25kg
- 25-40kg
- 40-50kg
- Over 50kg
Does the animal currently reside at the address given above?
- Yes
- No
Is your animal desexed (Certificate may be required)
- Yes
- No
Is your animal Microchipped?
- Yes
- No
In whose name is the animal chipped?
Is your animal registered with council?
- Yes
- No
Is your animal current with vaccinations? (Certificate may be required)
- Yes
- No
Has your animal had any other major vet work or any ongoing conditions?
- Yes
- No
Please provide details here:
Where does the animal currently reside?
Does your animal reside
- Inside
- Outside
- Both inside and outside
Personality & Behaviour
Please provide as much information as possible to help us assess your animal and find an appropriate foster carer
Is your animal social with other animals?
- Yes
- No
Please choose no if there are issues with any other types of animal
What types of animals has your animal been socialised with?
Are there any animals that are a problem?
Please list any issues here
Does your animal have any history of agression, escaping or anxieties?
- Yes
- No
Please provide details
Photos of your animal
Drop files here or

Accepted file types: png, jpg, jpeg, bmp, svg, gif, Max. file size: 64 MB.
Photos will help us with placing your animal with a suitable foster carer
Why do you need to surrender your pet?*
Do you have a date the animal needs to be rehomed by?
DD slash MM slash YYYY
If accepted as a surrender, you must be willing to transport your animal to us
- I agree
CAPTCHA
Untitled
- First Choice
- Second Choice
- Third Choice

Application For Adoption

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 State / Province / Region ZIP / Postal Code Country
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

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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Details

First name *

Last name *

Email *

Address

Address 2

City

State

Postcode

Country

Phone Number

Application For Adoption

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 State / Province / Region ZIP / Postal Code Country
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

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?

Save and Continue Later