Adoption Form

Our aim is to achieve a good match for both the adoptive family and the animal.

Your answers will help us to match you with the right pet for your circumstances.

The GOAR Adoption Application is an expression of interest to adopt.

All adoptions are subject to the adoption process detailed in the terms and conditions contained on page six of this document.

The person adopting the pet must be over 18 years of age

Name

First Name Last Name

Email

example@example.com

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Mobile Phone

Area Code Phone Number

Occupation

Best Contact Time

Best Contact Method

Name of the animal you're interested in

Animal Size

Age

Housing

Shelter

Kennel Carport Garage Laundry

We recommend dogs are kept indoors at night, for safety. We recommend cars are always inside. Trees are not sufficient shelter for dogs. Dogs need appropriate shelter from the weather

I would consider adopting two dogs

Yes No

I would consider adopting an animal with special needs

Deaf Blind Any

Many dogs benefit from having a companion, but be aware that this requires extra time, commitment and cost.

House Type

House Townhouse Unit

Housing Situation

Own Rent Board

Is your yard or courtyard securely fenced?

Yes No N/A

Are any fence gates able to be locked?

Yes No N/A

Height and Type of Fence

Do you have a pool / spa?

Yes No

Is your pool / spa securely fenced?

Yes No

How busy is your street?

Quiet Busy Heavy

Do you have other pets

Yes No

Pet Types

Pet Breeds

Are your pets desexed, microchipped and vaccinated?

Number of Adults

Number Of Childen

Children's Age

Is everyone supportive of adopting a pet

Yes No Unsure

Is anyone allergic to animal fur

Yes No Unsure

Do your neighbours have a dog(s)

Yes No Unsure

Is your neighbour's dog(s) well confined?

Yes No Unsure

Have you owned a pet before

Yes No

How long did you own it and what happened to it?

How much time could you spend walking/exercising your dog?

Would you be prepared to house train you dog if needed?

Yes No

How often & how long would your pet be left alone?

What would you do with your pet during holidays

Do you or anyone in your household have any health or medical conditions which would affect your ability to care for a cat/dog?

Yes No Unsure

If 'Yes' or 'Unsure' please provide details

Do you or anyone in your household have any health or disabilities which would affect your ability to care for a cat/dog?

Yes No Unsure

If 'Yes' or 'Unsure' please provide details

Any medical conditions or disabilities are considered as part of the matching process.

Have you or anyone in your household been convicted of animal cruelty, animal neglect, or had an animal removed from your care?

Yes No

If 'Yes' please provide details

Reference Name

First Name Last Name

Reference Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Reference Phone Number

Area Code Phone Number

To assist with your applications, please email three or four photographs to 2020.goar@gmail.com of your yard showing: Fences, Gates, Kennel (sleeping quarters) and Shelter.

Please provide any other comments or information which you believe may assist us with your application.

Adoption Terms & Conditions

All adoptions are subject to a site inspection to confirm a suitable home.
After the site inspection, a two week trial period is offered to ensure a safe and suitable match of the dog with its new home.
The adoption fee must be paid at the end of the trial period when you decide to adopt.
To complete the adoption process, an Adoption Agreement and Transfer of Ownership must be completed.
An Adoption Application (this document) is an expression of interest to adopt. Completion of this document does not guarantee approval to adopt.
An Adoption Application (this document) may be referred to the G.O.A.R team leaders for consideration
Decisions on adoption applications are based solely on an assessment of the applicant’s capacity and commitment to provide a safe, loving and permanent home for the pet under consideration. With this in mind, the G.O.A.R assessment of adoption applications is final.

Adoption Declaration

I acknowledge that a dog may live for 10 to 20 years and I am willing and able to meet the costs that are likely to be necessary to care for my dog including ongoing costs of food, yearly vaccinations, regular flea and worm treatments over its lifetime. If my dog needs veterinary care I am willing and able to meet those costs.

I, and my family, will welcome our dog as a member of our family and provide a secure, permanent and safe loving home. I have the physical and financial capacity to include a dog within my family and I will be able to maintain a good standard of care.

I will never surrender my pet to a pound or animal shelter. I intend to provide a ‘fur-ever’ home however should my circumstances change and I am unable to keep my pet, I will and in all cases contact G.O.A.R first and give the rescue a chance to take the animal back into care.

I confirm I am over 18 years of age and if I am in rental accommodation, I confirm I have my landlord’s permission to have a pet at the premises.

I have read, understand and agree to the ‘Adoption Terms and Conditions’ shown above. All information supplied is true and correct and is not misleading in any way.

Application Date

Date

Applicant Name

First Name Last Name

Applicant Signature

Clear

Adoption Form

Your Preferred Dog Details

Residential Details

Your household details

Your new pets needs

Background Information