ADOPTION APPLICATION

ADOPTION APPLICATION

All Paws Count Murupara Trust
Please be aware there is an adoption fee for all out dogs, this is to cover some costs from when they have been in our and their vet bills.

Please ask what this fee is if you have not been told.
YOUR DETAILS:
Name:

First NameLast Name
Date of Birth

DayMonthYear
Date
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation
Where do you work?
Personal reference:
Name and Phone Number of someone that has known you for at least 2 years that is not family.
Are you a New Zealand citizen?

YesNo
Details of Dog:

Dog that you are wanting to adopt.
Name of dog:
Breed:
Age:
Sex:

MaleFemale
Why are you interested in this dog?
PROPERTY DETAILS:
Do you own or rent your property?

OwnRentOther
If you rent, do you have permission from your landlord to have a dog on the property?

YesNoI do not know
Landlord's name:
Landlord's email:
example@example.com
Landlord's Phone Number

Area CodePhone Number
Please describe your section, particularly fencing and gates (material and height at lowest point):
PEOPLE AND ANIMALS AT YOUR PROPERTY
Names of people that live at your property, please add ages and if they are confident with dogs/experience:
Names of pets that live at your property, please add if they are spayed/neutered, vaccinated (if dogs please add breed and age, what they are like with other dogs):
Past dogs you have had, breed and why you no longer have them (rehomed or passed away):
CARING FOR THE DOG
Where will the dog sleep?
On a typical day, how long will the dog be left alone?
Where will the dog be kept while you are out?
Can you afford to keep the dog up to date on vaccinations, registration and flea/worm treatment?
If anything unexpected happened to the dog (medical or behavioural) how would you deal with this?
If you have to go away unexpectedly, do you have a trusted person to care for the dog?
Your current or past vets:
Vets phone Number:

Area CodePhone Number
Should be Empty:

ADOPTION APPLICATION

YOUR DETAILS:

Details of Dog:

PROPERTY DETAILS:

PEOPLE AND ANIMALS AT YOUR PROPERTY

CARING FOR THE DOG