Dog Adoption Application
Thank you for your interest in adopting a dog through Strong Hearts Dog Rescue! This application is designed to ensure that you are aware of the additional responsibilities associated with dog adoption, assist us in identifying the type of dog that suits your preferences, and help us match you with the right dog companion. It is crucial to provide all relevant information in this application. Keep in mind that popular dogs may attract over 100 applications, and we prioritise contacting the most suitable applicants first. Your responses guide our decision-making process, and if you are not selected, it does not reflect on your suitability as an applicant. We understand that not everyone is a natural wordsmith, but we appreciate your effort in providing thorough responses.
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About You
Please tell us a little bit about yourself and your household.
Your Name
*
First Name
Last Name
Email
*
example@example.com
Mobile Number
*
Please enter a valid phone number.
Residential Address
*
Street Address
Street Address Line 2
Suburb / Town
State
Postcode
Number of people living at your residence:
*
Ages of people living at premises (including yourself):
*
What do you (and any other adult members of your household) do for a living?
*
Owning a pet comes with ongoing expenses, including food, veterinary care, and general upkeep. Are you financially prepared to provide for a pet’s day-to-day needs for their entire life?
*
Occasionally pets can cause a large financial burden - unexpected veterinary bills from an accident or illness, boarding kennels in case of an emergency etc. Please briefly describe your course of action if there was a large financial outlay which you were not able to cover with your day-to-day financial resources?
*
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About the dog you are applying for
Are you applying for a specific dog? If so, who?
*
Tell us a bit about why you want to adopt a dog. For example, as companion for yourself, for another pet, for children, watchdog? Please give us as much detail as you can.
*
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Current and past pets
Do you currently have any pets?
*
Yes
No
List all the pets that are currently living in your household:
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Name
Species/Breed
(e.g. Dog)
Age
(in yrs)
Sex
(M/F)
Size
(L/M/S)
Are they up-to-date on vaccinations?
(Y/N)
Are they de-sexed?
(Y/N)
Are they registered? (Y/N)
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6
Do any of your pets have any injuries or illnesses?
*
No
Yes (Please specify)
Have you had any other pets within the last 10 years?
*
Yes
No
List all your previous pets from the last 10 years:
*
Name
Species/Breed
Age
Why don't you have them any longer?
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6
What is (or would be) the name of your usual vet clinic?
*
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The home environment you could offer this dog
Indoors
Will the dog be allowed inside?
*
Yes
No
Where will your new dog sleep? Please be specific eg kennel, verandah, laundry. If inside, which room?
*
Which areas of the house/yard will the dog have access to?
*
For example yard only, yard and laundry/kitchen/non-carpeted/other areas? Do you have a doggie door?
Will your dog be allowed to sit or sleep on couches/furniture?
*
Yes
No
How often will the dog be allowed inside?
*
For example, in the evening, when somebody home, all the time? What areas will be off limits, eg kitchen, bedrooms, furniture, carpeted areas?
Do you smoke or vape INSIDE your home?
*
Yes
No
Outdoors
Does your residential address have a yard?
*
Yes
No
Is this yard private or shared?
*
Private
Shared
Other (please describe)
Is your yard securely fenced? Please note, if your fencing is not secure, please do not proceed with this application until it is.
No
Yes (please describe type of fencing, for instance is it wooden, colourbond, wire etc. and its height at the lowest point)
Do you have a swimming pool at your residence?
*
Yes
No
Is the pool separately fenced?
Yes
No
While you are away or out
If no-one is at home, where will the dog stay?
*
Inside or Outside? If the dog is outside, what type of shelter will the dog have?
How many hours (on average) will the dog be without human company for each day?
*
Exercise, enrichment and training
How often will you have time to walk the dog? How long for? On lead or off lead?
*
Will you take your dog to puppy school AND/OR further training sessions in the future? Have you attended training sessions before in the past with another dog?
*
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Other matters
Under what circumstance, if any, would you give up or surrender this dog? Please select all that apply.
*
Family illness
Barking
Digging
Shedding
Allergic to new dog
Destructive chewing
Biting
Growling
Moving house
Reactivity on lead
Lack of housetraining
High cost vet bills
None of the above
Any other reason (please specify)
Whart sort of arrangements would you put in place for the dog if unexpected changes in your life prevented you from caring for them? Things like unexpected severe health issues or a drastic change in living arrangements can happen to any person, at any stage of their life. We want to know what you would do if somehing like this happened to you, although we hope that it never does.
*
Is there anything else you would like to tell us about you, your family or your interest in adopting a dog?
*
The more information you provide, the better we will be able to determine suitability of your chosen dog(s).
Do you consent to a volunteer contacting you to arrange a property check?
*
Yes
No
Please provide photos of where the dog would be living (make sure to include yard & also where dog would sleep at night)
*
I have photos I can upload now
I will upload photos later - Please email photos asap to dogs@strongheartssanctuary.org
Please upload photos of where the dog would be living (make sure to include yard & also where dog would sleep at night)
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How did you hear about us?
Pet Rescue
Facebook
Instagram
TikTok
Word-of-mouth
Pet store
Adoption Day
Other (please specify)
Are you looking to adopt and take your new family member home asap? If not, when?
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Terms and Conditions
I confirm that I am over 18 years of age.
*
Agree
Disagree
The information provided in my application is true. Any misrepresentation may result in the loss of adoption privileges from Strong Hearts Sanctuary.
*
Agree
Disagree
I acknowledge that Strong Hearts Sanctuary reserves the right to deny any adoption application for any reason.
*
Agree
Disagree
I understand that Strong Hearts Sanctuary cannot guarantee the health or temperament of adopted animal. I take responsibility for addressing any arising issues.
*
Agree
Disagree
In the event I am unable to care for my adopted animal, I agree to contact Strong Hearts Sanctuary to discuss return or seek assistance.
*
Agree
Disagree
I agree to immediately contact Strong Hearts Sanctuary if my adopted animal is lost or missing.
*
Agree
Disagree
I affirm that the adopted animal is for me and my home, not as a gift for anyone.
*
Agree
Disagree
I am responsible for all future costs, including vaccines, council registration, microchip transfer, veterinary visits, and medical procedures for my adopted animal.
*
Agree
Disagree
I release and indemnify Strong Hearts Sanctuary from costs associated with any pre-existing medical conditions related to the adoption.
*
Agree
Disagree
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Terms and Conditions
Contd.
By signing below, I acknowledge that this application serves as both my adoption application and adoption contract with Strong Hearts Sanctuary (if successful in my application to adopt).
*
Submit
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