SDC ADOPTION FORM
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Occupation
*
Nationality
*
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
St Kitts & Nevis
St Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Emirates ID
*
Browse Files
Cancel
of
Passport
*
Browse Files
Cancel
of
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PET DETAILS
Type of dog you would like to adopt?
*
Do you have a specific dog in mind?
*
What dogs do you have experience with?
*
Small
Medium
Large
None
If you want to adopt a pure breed what is your experience?
If not applicable please type "N/A"
If you want to adopt a puppy what is your experience raising a puppy?
*
If not applicable please type "N/A"
Do you agree to neutering?
*
Yes
No
Do you have any other pets?
*
Yes
No
If yes, what type of pets and how old are they?
If you have another pet(s), are the vaccinations up to date?
*
Yes
No
N/A
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HISTORY
Have you ever had a pet in the past?
*
Yes
No
If Yes, where is your pet now?
Have you ever euthanized a pet?
*
Yes
No
If 'Yes' why?
Have you ever surrendered a pet?
*
Yes
No
If 'Yes' why?
Have you ever lost a pet?
*
Yes
No
If 'Yes' how?
Have you ever adopted from another rescue group?
*
Yes
No
If 'Yes' which rescue group?
Where is that pet now?
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LIVING CIRCUMSTANCES
Do you live in a villa or apartment?
*
Villa
Apartment
Does your landlord allow pets? (Upload rental contract that states "Pets allowed" or NOC from your landlord). If you are an apartment or villa owner please upload the deed of ownership.
*
Browse Files
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How many adults live in your home?
*
How many children live in your home & what are their ages?
*
Does everyone agree to add a pet to the household?
*
Yes
No
Do you have the financial ability to care for a pet?
*
Yes
No
What will happen to your pet if you have to move country?
*
Will your pet be kept inside or outside?
*
Inside
Outside
Will your pet have access to AC?
*
Yes
No
Will your pet be chained?
*
Yes
No
If you live in a villa does it have a boundary fence that ensures your dog can't escape?
*
Yes
No
N/A
If you live in an apartment do you have a safe balcony?
*
Yes
No
No Balcony
N/A
Does anyone in your household have an allergy to pets?
*
Yes
No
If 'Yes' explain how you will manage allergies?
How will you ensure your dogs mental, emotional and physical needs are being met?
*
If your dog develops any behavioural issues what would you do?
*
How many hours will your dog be left alone?
*
Who will take care of daily basic needs? (Feeding, water, toileting, cleaning)
*
Which vet will you use?
*
What will happen to your pet when you travel?
*
What discipline method will you use?
*
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REFEREES
Please provide two references
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
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I, the above named agree that I will only use a reputable, licenced pet sitting or boarding facility if needed.
Agree
Disagree
I, the above named agree that if under any circumstances I can no longer care for my dog I will surrender the dog back to Stray Dogs Center.
Agree
Disagree
Submit
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