ROAR canine adoption application

Canine Adoption application/agreement

Please read the following carefully
Thanks for completing this application! At first glance, you might think, this is a little long - are all these questions really necessary? We know, but it is in the best interest of YOU and the dog.

Every family is different, and there are no right or wrong answers. Every dog family has different needs, and this application helps us identify who needs what information and what homes might make the best fit. If you're a veteran dog owner, we don't want to waste your time revealing things you already know; by the same token, if this is your first dog, we want to make sure you leave prepared for what life with a dog may bring. So again, thank you!

Please complete all the information on the following pages. Missing information may delay the adoption screening process. Completion of this application form does not guarantee that ROAR for PAWS will place one of our dogs in your care. Completion of this adoption process is an indication that you have read, understand and agree to abide by our Animal Adoption Agreement and that the information contained within this application is accurate and not misleading in any way. All adoptions are at the sole discretion of ROAR for PAWS who reserves the right at any time during the adoption process to decline an application, without explanation.

Please give careful consideration to adopting a dog. Dogs are not toys or short-term commitments. They must be part of the family and cannot be outside dogs. Make sure your lifestyle allows the time, patience, training, and expense this dog will need over the years. Please take time to think, be honest with yourself and us when answering these questions.

Our adoption Process
- Complete the adoption application and give it to a ROAR for PAWS representative or e-mail to info@roarforpaws.co.za (Remember to initialise each page and sign last page.) or apply online.
- A home check will be done
- Should the home check and application be successful, you will be informed to collect your dog.
Adoption fee is R850 and includes
- Up to date vaccinations / deworming / tick&flea treatment at time of adoption
- Sterilization
- Microchip
- A lifetime of LOVE and LOYALTY!
Additional information
- You must be 18+ years old to adopt.
- Your current furkids must be sterilized and their vaccintions must be up to date. (Unless there is avalid veterinary report indicating why this is not possible.)
- Your furkids must be part of the family and must sleep inside.
- Your property must be fully fenced. The property must be secure and safe for the dog.
Name of the dog/puppy you are interested in
Applicant Information
First Name*
Last Name*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number 1*

Area CodePhone Number
Contact Number 2

Area CodePhone Number
Occupation*
ID number*
Tell us more about your home
Are all household members in agreement with this application?*

yesno
Who will be the primary caregiver?*
How many adults are in your household?*
How many children are in your household?*
If children in household, please specify their ages.
What is your home type?*
Do you own or rent this property? If you rent, you must show us a confirmation from your landlord or a copy of the section of your lease stating that you are allowed to have dogs/cats and showing any limitations. Please e-mail this confirmation to info@roarforpaws.co.za.

RentOwn
How long have you lived there?*
Is your yard fully fenced?

yesnopartially fenced
Please provide the height of the fence.*
E.g. 6 feet
Please provide the type of the fence.*
E.g. vibacrete
References

Please provide references of a person who have known you for a while. They should not stay at the same address.
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship*
E.g. friend
Tell us more about your current/previous animals
How many animals do you currently have?*
Which veterinarian/practice do you take your animals to?*
Tell us about your current/previous animals.

Very important: Please ensure that you fill in ALL the fields below.
Tell us more about the new dog
Why do you want to adopt?*
Where will your new dog sleep at night? *
Where will your new dog stay when nobody is home? *
How many hours will the dog be alone during the day?*
What happens when you go on holiday?*
What brand of dog food do you plan to feed? *
Have you ever given up / re-homed an animal?*

yesno
If you have given up/re-homed an animal, please provide more information.*
Type 'not applicable' if this does not apply to you.
Have you ever had an animal lost or stolen?*

yesno
Are you willing to work through your new dog's issues, if any?*

yesno
What will you do if your dog chews furniture or shows other destructive behaviour?
Do you understand that a dog can be a 15-year (or more) commitment and can be expensive to care for?*

yesno
Do you plan to take an obedience/training class with your dog?*

yesnoI will train her/him myself
Are you familiar with the Animal Bylaws in your area?*

yesno
Are you planning to move soon? (Note that many places are not pet friendly.)*

yesno
Are you planning to move to a retirement village/home within the next few months/years or move in with relatives?*

yesno
Are you planning to immigrate soon or within the next few months/years?*

yesno
What will happen to your animals should you need to move house, immigrate, move to a retirement village or move in with relatives/caregivers?*
When would you consider euthanasia (put to sleep?)*
What circumstances might you consider giving up a dog? (check all that apply)

AllergiesHouse soiling/markingIf you have a babyIf you go on holidayIf you divorceChildren lost interestSheddingTime consumingBehaviour problemsNew household member does not like animalsNoneOther
Do you have any additional comments, questions or concerns? Anything else you would like us to know?
Declaration

Please read the following carefully and verify if you agree.

	yes	no
By signing this document, I understand that I assume full responsibility for the welfare of this dog from the date of adoption. This include ALL medical expenses. (I.E. emergencies, routine procedures, annual check-ups, vaccinations and ALL other medical expenses that might be occurred.)
I am committed to keeping vaccinations, deworming and annual check-ups up to date.
I am keeping the dog as a part of my family.
Should the dog not be sterilized yet (in the case of a puppy) I will take the dog to the ROAR for PAWS appointed vet for the procedure on the date/time as agreed between myself and ROAR for PAWS. Should I choose to take the dog to my private vet, I will be responsible for all costs and provide proof of the procedure to ROAR for PAWS.
Should any of my current furkids not be sterilized, I hereby agree to sterilize them prior to bringing the new dog home. (Unless there is a valid veterinary report indicating why this is not possible.)
Should my situation change, I understand that the dog may not be given to another individual or organization but that he/she MUST be returned to ROAR for PAWS. I understand that the adoption fee is non-refundable.
I will inform ROAR for PAWS of any address change and understand that a new home check will be required.
I agree to a ROAR for PAWS representative conducting a home visit and give ROAR for PAWS permission to do unannounced follow up home visits during the lifetime of the furkid.
I agree that ROAR for PAWS has the right to confiscate the adopted dog at any time without approval at their discretion, should matters arise that contradict the agreement of this adoption contract.
Should the application be approved, I agree to pay the adoption fee of R850, before or when collecting my newly adopted dog.
I agree that the dog's microchip will be registered to ROAR for PAWS.
I understand that I am entering not only into an application, but a legally binding contract if approved for adoption.

I, print name here* hereby confirm that I understand the above said and that the information provided is true and correct.
Signed at add location/suburb/city here* on add date here*
Signature*
Should be Empty:

Canine Adoption application/agreement

Applicant Information

Tell us more about your home

References

Tell us more about your current/previous animals

Tell us more about the new dog

Declaration