Walkabout Application

Walkabout Aussies Adoption Application

"enjoy some wiggle in your life"
Perspective Pet Parent*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Format: (000) 000-0000.
Sex, color and size Aussie you want to adopt*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
YesNo
Pet Name(s)
Pet Breed(s)
Pet's disposition and behavior towards other dogs?
Veterinarian Name

First NameLast Name
Veterinarian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
OwnRent
Please provide your landlord's information here:*
YesNo
Is it fenced? please describe
What is your landlord's pet policy?*
Are there children in the home? (If yes, please list ages)*
How many hours per day would the pet be alone?*
Will you crate your pet?*
If you have to leave town, emergently or planned, where would your pet stay?*
How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet?*
3 Personal References*
YesNo
Please provide a detailed description:
- By clicking the submit button, I agree to Walkabout Aussies adoption process, will undergo an interview and a homecheck if Walkabout Aussies feels it is necessary to complete adoption process.
- By clicking the submit button, I understand my references will be checked including veterinary and personal.
- By clicking the submit button, I agree to indemnify and hold Walkabout Aussies harmless 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 Walkabout Aussies will disclose any of the pet's health or behavior issues known before adoption is completed.
- By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will surrender my pet to Walkabout Aussies and understand that no monies will be returned.
- By clicking the submit button, I verify all of the above information is true and accurate.
Should be Empty:

Walkabout Aussies Adoption Application