EOI to Adopt a Cavalier King Charles Spaniel

Cavalier King Charles Spaniel Rescue (QId) Inc. Registered as a charity with the Australian Charities and Not-for-profits Commission
ABN: 28 709 153 342

📞 0458 550 878 | 📧 admin@cavalierrescue.com.au| 🌐 www.cavalierrescue.com.au
Email
example@example.com
Expression of Interest

Application to Adopt
Dog's Name*
Please enter the name of the dog you wish to adopt.
Date*

MonthDayYear
Date
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home
Mobile
Format: (000) 000-0000.
Other
Email*
example@example.com
Cavalier King Charles Spaniel Rescue (QId) Inc. will only use your personal details to record, assess and manage your application. Your details will not be sold, shared with or otherwise released to any third party without your prior consent.
Do you live in Queensland or Northern NSW in Australia where we offer our rehoming service?*

YesNo, I live elsewhere in AustraluaNo, I live outside of Australia
Do you agree to provide a copy of your identification as part of the adoption process if you are successful?*

YesNo
Have you previously adopted a rescue dog?*

YesNo
1. Do you Currently*

Own your own homeRent your homeLive in someone else's home (e.g Parent's/Friends)
If you are in your own home, we may request to see a recent Rates Notice. If you are renting we may request to see written consent from your landlord that you are allowed to keep pets in the property.
2. Please advise your typical work hours. When will a responsible person be at home to look after the dog?*
3. What do you know about the potential health issues and grooming requirements of this breed? e.g. heart problems, patella problems, eye health, ear health, maintenance of coat etc.*
4. Are you aware that as a result of a physical trait many Cavaliers snore?*

YesNo
5. Do you have any other pets that live at or visit your home?*

DogsCatsOther Pets
No. of Dogs*
If none, please type 0
No. of Cats*
If none, please type 0
No. of other pets*
If none, please type 0
If yes. please provide details of type/s of pet. breeds, ages and a brief description of their temperament and behaviour:
If you have any dogs and/or cats., please briefly outline what you normally feed them
6. We need to consider your activity and lifestyle when trying to match a dog to your home. Please briefly detail the typical daily exercise and activity routine you would be able to provide. eg. walks, swimming, play, beach visits etc. How long each session? How many times per week?*
7. Do you have any formal dog training experience?*

YesNo
If yes. please briefly describe your experience
8. Would you consider taking on a senior dog or a dog with health issues?*

YesNo
9. At your home, do you have any of the following either inside or out:

Polished FoorsFloor tilesStairs/Split Level
10. We require that your yard and garden is securely fenced, including swimming pool areas. Please detail what type of gates and fencing you have.

4ft fencing6ft fencingColorbondTimberBrickWire/MeshLatch Gates
Other details about yard. gates and fencing
11. Do you live in an area which has:

TicksCane ToadsSnakesOther Wildlife
If other, please explain
12. Where will your dog spend time during the day and at night?*
13. What do you plan to do / Who will be responsible for looking after your dog if you need to be away from home or when you go away on holidays?*
14. What is your current or previous experience with the Cavalier King Charles Spaniel breed (if any)?*
15. Please outline who else lives at your address, including other adults and children.*
No. of Children
If none, please type 0
No. of Adults
If none, please type 0
16. Please list the ages of any children that live at or visit your home (eg. friend's children, grandchildren)*
17. Let us know whether you have any particular preferences
Colour

BlenheimTri-ColourRubyBlack & Tan
Age

Up to 12 months2-5 years old5-8 years old8 years+
Temperament

Very ActiveModerately ActiveLow ActivityGood with KidsAffectionateLives Outdoors
Anything else you'd like us to know about your preferences?
18. Please tell us what has motivated you to enquire about adopting a Cavalier?*
19. Please add anything not covered above to support your application
20. How did you find out about Cavalier King Charles Spaniel Rescue (Qld) Inc?*

FacebookWebsiteFriendPet ExpoAnother rescue/animal groupSpoke to one of your Volunteers (please type their name in the box below)
I declore the information hove provided on this form is to the best of my knowledge true and correct. I hereby acknowledge the obligation and agree to keep matters of a confidential nature, particularly regarding personal details and the circumstances surrounding surrender and rehoming. confidential and to respect privacy as required by the Privacy Act 1988 (Cth
Name*
Signature*
I would like to join the email list to receive notification of upcoming events and information from time to time.*

YesNo, thank you
Dated*

MonthDayYear
Date
Thank you for your interest in adopting a dog through Cavalier King Charles us with as much information as possible. If there is anylhing further you would like to add to your application, please email it to rehoming@CKCSRQ.onmicrosoft.com , along with your full name as per your application

**Cavalier Rescue reserves the right to decline applications, based on the needs of our rescues
Should be Empty:

Expression of Interest