Thank You — Tiki Animal Rescue

Name of the Dog you are interested in (required)*

Woud you like to ask a question or apply for this dog?*

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Name*

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Email*

Phone*

What is your question?*

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*

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:*

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

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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Your Basic Infromation

About Your Pet

Personality & Behaviour

Help Us Get To Know You

Your Home And Family

Your History

The Puppy / Dog In Your Home

Help Us Get To Know You

Your Home And Family

Your History

The Puppy / Dog In Your Home