Adoption Application

1

Name of dog you are interested in adopting:* This field is required.

2

First name:* This field is required.

3

Last name:* This field is required.

4

Mobile:* This field is required.

5

Other phone number:

6

Email:* This field is required.

7

Address of where the dog will be kept:* This field is required.

8

Suburb:* This field is required.

9

State:* This field is required.

10

Post code:* This field is required.

11

Are you over 18 years of age?* This field is required.

Yes

No

12

Details of other family members at the address (i.e. single, family, kids ages etc):* This field is required.

14

Do you drive or own a car?* This field is required.

Yes

No

15

What are you living arrangements? (i.e. owner or renting, if renting do you have permission to have a dog?)* This field is required.

16

What are you looking for in a dog? (i.e: breed, age, sex, activity level)* This field is required.

17

Tell us a bit about the animals you have owned in the past (i.e: breed, personality, how long you had them (if passed)* This field is required.

18

Tell us about any current pet(s) you have (temperament, activity level, breed etc):* This field is required.

19

Where do your current pet(s) sleep if applicable? (i.e: kennel, veranda, laundry, bedroom)* This field is required.

20

Who is your current veterinarian? (Clinic name and address)* This field is required.

21

Please detail the requirements from your council (i.e: number of dogs allowed before a permit is needed)* This field is required.

22

Do you have a yard that is securely fenced?( If yes what size yard, type of fencing and height do you have?)* This field is required.

23

How often will you be exercising your dog?* This field is required.

Weekly

Daily

Twice a week or more

24

Describe the type of mental and physical exercise you plan on providing?* This field is required.

25

Is there adequate access to water and shelter outside for your new dog?* This field is required.

Yes

No

26

Has this decision to adopt been discussed and agreed on with all people living at this residence.* This field is required.

Yes

No

27

All successful applicants will need to be willing to partake in a house/ yard check and a meet and greet with other family members and/ or pets, do you consent? * This field is required.

Yes

No

28