AWL Western Suburbs - Adoption Application Form

Adoption Application Form

AWL NSW Rehoming Organisation Number: R251000222
Adopter first name:*
Adopter last name:*
Title:
Name of pet you wish to adopt (as named on AWL or PetRescue):*
Animal ID (as per AWL or PetRescue site)*
I am enquiring about a:*

CatKittenOther
Your Age:*

18-2526-6565+
Email Address:*
Mobile Phone:*
Home Phone:
Work Phone:
Address:*

Street Address

Street Address Line 2

CityState

Postal
Do you have any existing pets in your home?*

YesNo
Pet name(s), breed(s) and age(s):
Please provide your Veterinarian's name, location and phone number:
Do you Own or Rent?*

RentOwn
How long have you been at this address?*
If renting, do you have permission for an animal?

YesNoAwaiting approval
Where will the Cat / Kitten be kept?*

Indoor cat only (may include access to cat enclosure)Access to outside backyard but kept inside at nightOutdoors where no cat litter tray requiredN/A applying for Dog / Puppy
If you go away on holidays, what arrangements would be made to care for your cat?
Have you ever surrendered or rehomed a pet?*

YesNo
If yes, please describe circumstances:
Who else lives in the home? Please list ages of any children.*
Are you an Australian Citizen or do you have Permanent Residency?*
Any other information that might help us determine your suitability for adoption?
Condition of Adoption:
1. I am 18 years old or over.
2. All animals in my current care have been health checked by a veterinarian and are desexed, microchipped, vaccinated and wormed.
3. Despite all precautions, some animals may not show signs of illness before adoption. All animals adopted by the Animal Welfare League NSW come with a 21 day health guarantee from the date of sale, for conditions which may arise following adoption. Treating of any veterinary service is only available by contacting the branch of adoption to make arrangements through an AWL approved veterinary practice. Should you require this service, please contact 0436 623 548 for information. Veterinary fees from other practices will not be paid.
Signature:*

Clear
ID Type:
ID Number:
Date:

DayMonthYear
Date
By clicking the Submit button:
- I understand that as part of the adoption process AWL NSW Western Suburbs Branch may conduct a home and yard check if applicable.
- I understand that AWL NSW may check my veterinary references.
- I understand there is an adoption fee associated with adoption of a pet from AWL NSW.
- I verify all of the information provided in this form is true and correct.
PLEASE DO NOT click the Submit button if you have not verified with everyone in your home that they want to adopt.
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