Dog Adoption Application
*Please only apply if you are willing to travel to Bendigo for a meet and greet and ready to adopt within the next 7 days*
Personal Details
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Please list the names and ages of your household members (including those who stay regularly):
*
Please list any pets in your home and provide details of their breed, age, gender, whether they are desexed and if they are current with their vaccinations:
*
If applicable how do your pets get along with other animals?
Please describe any past experience you have had with owning dogs:
*
Have you ever given away or surrendered one of your pets? Please describe the situation:
*
If renting, are you allowed to own dogs? ( If you are short listed, you may be asked to provide supporting evidence of your landlord's permission)
*
Yes
No
Unsure
Not Applicable
Name of the puppy/dog you are interested in adopting:
*
What is your main reason(s) for wanting to adopt this puppy/dog?
*
What interests you in this particular breed(s) and have you owned this breed(s) before?
*
What are this breed(s) specific needs?
*
On average how many hours will your puppy/dog spend by itself each day?
*
Training & Socialisation
How will you train your puppy/dog and what methods will you use?
*
How do you plan to socialise your puppy/dog?
*
How often will you exercise your puppy/dog and what type of activities do you plan to do?
*
Are you prepared to attend puppy school and/or obedience training. If so which one?
*
Describe a typical day for your puppy/dog:
*
Your Property
Please describe your property:
*
Please describe your fencing (e.g Colorbond, Wood etc) and measurements at it's highest point and at it's lowest point. If your application is successful you may be asked to provide photos of your fencing and backyard.
*
Where will your puppy/dog sleep:
*
Where will your puppy/dog be when you are not at home?
*
If your puppy/dog is to be outside, what type of shelter/housing do you have?
*
Other important questions
What would cause you to surrender or give away a pet? Please tick all that apply.
*
Ill health or injury of family member
Ill health or injury of pet
Moving house and unable to take pets
Reactiveness towards people
Reactiveness towards animals
Mouthing
Separation Anxiety including destroying furniture, inappropriate urinating etc
Excessive Barking
There is nothing that would cause me to give away a pet
Other
What veterinary clinic do you utilise or plan to utilise? Is this clinic able to provide a reference?
*
Please add anything further to support your application:
If your application is shortlisted, when are you available to attend a meet and greet? Please note that we don't place holds on our animals. This means that if you are unable to adopt your new family member within seven days of receiving notification that your application has been approved, please do not apply until you are ready.
*
-
Day
-
Month
Year
Date
If the meet and greet is successful, when are you available to adopt?
-
Day
-
Month
Year
Date
By completing this application, you agree that ALL the information you have provided is correct.
You understand that in some instances a property check will be required.
Ollie's Legacy Incorporated reserves the right to refuse any adoption.
Information is collected solely for the purpose of determining suitability as a potential adopter and will be kept subject to Ollie’s Legacy Incorporated's privacy policy.
If your application is successful it forms part of the adoption contract.
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