Little Pupper Rescue
Application of Interest. The completion of this form is an application, we do our best to match dogs and their new families together. We reserve the right to decline an adoption application for any reason. When completing the form DON'T press ENTER as it will submit the form before you are finished! * DON'T LEAVE THE FORM to gather phone numbers etc, as you will lose all of your information currently entered. Please give as much detail as possible. * PHOTOS of your yard, fencing, gates, where the dog will be sleeping are very helpful. Please send them separately to our email address: littlepupperhelp@gmail.com
Applicants Name
*
First Name
Last Name
Name of other adults in the home
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Postal Address (if different to physical)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
New Dog Information
Name of dog you are intrested in:
*
How did you hear about this dog:
*
What is your main reason for adopting a dog and why do you think this dog will fit into your lifestyle?
*
Have you applied for or adopted a dog from a rescue or shelter before? What was the outcome?
*
Household information
Are you a permanant resident of NZ?
*
Yes
No
Do you own or rent?
*
own
rent
Does you landlord allow dogs?
*
yes
no
Do you have a fully fenced section?
*
yes
no
partially fenced secure area
How many adults in you household?
*
Adults ages?
*
How many children in your household?
*
Do you have dog free access to your house for visitors?
*
Dose anyone in you home have Allergies to dogs or have asthma?
*
Yes
No
When would you be ready to take a new dog home?
*
Do you agree to a property visit being caried out?
*
A volunteer/foster carer would contact you to organise a suitable day/time
How would you address any behavioural issues? What type of method do you prefer to use?
*
please provide examples.
list any current pets you own, their breed, age and gender.
*
Write N/A if you dont have other dogs.
if you have dogs are they spayed/nuetered?
Yes
No
How many hours a day is the dog likely to be left home alone?
With no human company
In completing this form you agree that:
I have tried to the best of my ability to ensure all the information in this application is true and correct. I understand that a little pupper helper representative will contact me asap once the application form has been processed.
Please verify that you are human
*
Submit
Should be Empty: