Animal Fostering Hub NZ Adoption Application Form
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employment Status
Place of Employment
Who is your local district council
Are you a New Zealand Citizen or Resident
Yes
No
Do you own your home or rent?
If you rent, you will need to email your landlords name and number, along with proof of permission to animalfosteringhubnz@gmail.com
Do you have a fully enclosed yard?
Please email images of the property where dog will be living, to animalfosteringhubnz@gmail.com
What dog/pup are you applying for?
Please list any pets you currently own, with the age, type, breed, sex and desex status
Do you have any livestock, and if so what kind?
Do any animals in your home have any medical or behavioural issues?
How long will the dog be alone for each day?
Where will the dog sleep?
Will the dog be chained and if so, why?
Please tell us about yourself, your family and your lifestyle - this will help us better determine if the dog is the right fit
How much exercise will the dog have each day, roughly?
How will you go about training and socialization?
Do you understand that dogs can be a 15+yr commitment and are you prepared for that?
Yes
No
Do you understand that dogs have a large annual financial cost, that includes vaccinations, flea, worming, dental and medical check-ups? Are you able to cover these costs comfortably?
Yes
No
Do you agree to desex your dog at 6 months of age, as recommended by vets?
Yes
No
Unless vet advises otherwise, in which case I will provide confirmation from vet
Do you agree that we will pay 50% of the desexing fee?
Yes
No
While an animal decompresses in a home, unexpected behaviours can present. Do you agree to be committed to working with the animal, during this time, should behaviours arise?
Yes
No
Personal reference details
Veterinary reference (if applicable)
Would you ever rehome the animal and if so, why?
Do you agree to contact the Animal Fostering Hub NZ if the dog requires rehoming?
Yes
No
Do you understand and accept, that there is an adoption fee, to be paid prior to the animal leaving our care?
Yes
No
By signing and submitting this form, you agree to adopt the dog as a companion animal and is NOT for breeding, and will be treated as a companion animal. You agree that all the details you have submitted are true.
Yes
No
Signature
Continue
Continue
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