Adoption Application

Adoption Application

Complete this adoption application form based on the MFPYRSA Adoption Application PDF.
Applicant Information
Surname
First Names
ID Number
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email Address
example@example.com
Phone - Home
Please enter a valid phone number.Format: (000) 000-0000.
Phone - Work
Please enter a valid phone number.Format: (000) 000-0000.
Phone - Cell
Please enter a valid phone number.Format: (000) 000-0000.
Household and Home Environment
Number of family members in household
Number of children in household and ages
Garden size
Is there someone home during the day? If yes, please describe who
Do you rent or own
If you rent, do you have the landlord’s permission to keep a dog/s?
Household setting
Is your yard or garden fenced or walled?
Brief description of fencing or walling (height, condition, etc.)
Type of fencing or walling
Is there a pool
Is the pool fenced?
Does the pool have a cover?
Adoption Intent and Dog Preferences
For what purposes do you want to adopt a dog?
Do you intend to keep the dog
What are the sleeping arrangements for the dog?

Other
If sleeping arrangements include 'Garage or stoep (specify)', please specify
If sleeping arrangements include 'Other', please specify
Name of preferred dog (if applicable)
Preferred sex of dog
Coat preference
Size preference of dog
Breed preference
Veterinary, Pets, and Care Arrangements
Do you have an existing veterinarian?
Veterinarian name
Will you be willing to have a rescue representative visit your home?
Do you own any other pets?
If you own other pets, what kind of pets, ages, and are they sterilised?
Do you breed any of your pets?
If you breed pets, are you a registered breeder?
Are you planning to move in the near future?
Who cares for your pets while you are away on vacation or business?

Other
Registered boarding kennels name
If other care arrangements are used, please specify
Adoption information
www.mfpyrsa.co.za/wp-content/uploads/2026/07/Adoption-information-MFPYRSA.png
I have read the adoption information
Please note: The adoption fee is R1800 per dogs, which includes sterilisation, vaccinations, deworming and microchipping.
Should be Empty:

Adoption Application

Applicant Information

Household and Home Environment

Adoption Intent and Dog Preferences

Veterinary, Pets, and Care Arrangements