Adoption Application Form - Iron Dog Rescue

Thank you for considering adoption of a rescue dog/puppy.

Completion of the form does not guarantee adoption. It is the first stage of the adoption process.

When submitted a member of our team will be in touch to discuss your application and our adoption process. We wish to ensure that all dogs/puppies find their true forever homes therefore our process is thorough.

Kindly allow reasonable time for us to contact you. If you wish you may contact Sue on 0437 010 492 if concerned about the time being taken.

Name of dog /s applied for *

Name of dog (1st) Name of dog (2nd if applicable)

If you are unable to travel to the rescue to meet and adopt are you willing to source and pay for the transport required ? If not, how do you propose to get the dog to you ?

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Post Code

Phone number (if landline)

Area codeNumber

Mobile Number *

E-mail*

example@example.com

Do you own or rent your current property?*

OwnRentStaying with friends/relativesShare house

Is your home:-

A townhouse or flat ?A suburban home?Semi-rural ?A rural property ?

Do you have a fenced in yard of suitable size to safely contain a dog?*

YesNo

Are there any children in the home? *

YesNo

Are all people of responsible age in the home agreeable to adopting a dog?*

YesNo

How many hours of the day will the pet be alone at home?*

If you have to leave your home in an emergency or for a planned absence, where will your dog stay?*

How will you deal with any issues that may arise from your dog such as barking, chewing, destructive behaviour, bathroom accidents indoors, or unruly leash behaviour?*

Do you own any other pets? If yes please describe, and tell us how many of each? (PLEASE include cats, dogs, birds, livestock or pocket pets). Type "Not Applicable" if you have no other animals on your property.*

How would you introduce a new dog to your current pets or neighbouring pets/livestock? Type "Not Applicable" if you have no other pets or livestock on or near your property)*

Are you willing to vaccinate and administer flea/tick/worming products for your dog with veterinary approved products recommended by your vet regularly and as specified by your veterinarian ?

Are all of your current pets desexed ?*

YesNoNot applicable, I have no other pets

Please provide a reference including name and phone number. References from family members are not accepted. *

Are your current pets used to meeting new dogs ?

YesNo

Do you have a regular veterinarian?*

YesNo

Veterinarian’s name/Clinic and location (Type No current vet if you don't have a vet)*

Veterinary Clinic's Telephone

Area CodePhone Number

Have you ever been convicted of an animal related crime, such as animal cruelty, animal theft, and or animal abandonment? (If yes please explain in detail). Have you surrendered or rehomed a pet previously and if so what where the circumstances. *

Type a question*

By clicking the submit button, I agree to the Iron Dog Rescue adoption process which will not guarantee adoption but is a preliminary contact check. By clicking the submit button, I understand Iron Dog Rescue will check my references including veterinary. By clicking the submit button, I understand that if accepted for meet, physical or virtual, which results in adoption there is an adoption fee which is not to be negotiated and is payable on pickup. I understand this donation will ensure the organisation is equipped to rescue another dogs in need and therefore, adoption donations and deposits are non refundable after the trial period of 14 days. I agree that I will be responsible for transport fees above the adoption fee. By clicking the submit button, I agree to indemnify and hold harmless Iron Dog Rescue against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed. By clicking the submit button, I understand that Iron Dog Rescue will disclose any of the pet's health or behaviour issues known by the above named rescue group before adoption is completed. By clicking the submit button, I verify all of the above information is true and accurate.

Signature

Date

IRON DOG RESCUE

Adoption Application