Forster / Adoption Application
Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Drivers License #
Name of your council where your pet will be registered
Are you over 18 years of age
Yes
No
Submit
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Your housing/living situation
I own my home
I am renting
I am boarding or another living situation
If you answered I am Boarding or another living situation please provide more details in the box below.
Family dynamics: I have children that live with me
Yes
No
I have children that visit me
Yes
No
I am Pregnant or I plan to have children in the next 5 years
Yes
No
Space and Location
Please select from the drop down box which best matches your land size where your pet will be residing
Unit / Apartment no yard
Unit / Townhouse with court yard or small yard
House with small yard
House with large yard
House with acreage / rural 1+ acres
Is your property securely fenced to accommodate your pet
Yes
No
I have installed a secure run for my pet
Do you have any other animals at your home
Yes
No
If you answered yes to having more animals at your home please provide details or the type of animal below, eg. Dog, cat, bird etc.
Do you look after or have other animals visit your home
Yes
No
If you answered yes to I look after animals or have other animals visit my home please provide more details in the box below
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If you own other animals are they up to date with worming / vaccinations please select all that apply
All wormer
Heart wormer
Vaccinations
Flea and tick treatment
Type option 4
Other
Do you like to keep your animals inside or outside? Please select from the drop down box
Mainly inside
Mainly outside
I understand that by completing this application it does not guarantee that I will be able to foster and or adopt a Homeless Hounds Animal Rescue Animal
Yes
I understand if my application for fosterer adoption is approved that i am then fully responsible for the animal and it is at my own risk. homeless hounds animal rescue will not be held liable for any injury of damage caused by the animal
Yes
No
I would like to Foster
Yes
No
I would like to Adopt
Yes
No
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I agree I am adopting the pet described above, and understand there is a settling in period of 2 weeks from the date of this agreement (Settling In Period) after which I will receive copies of the pet’s paperwork including microchip details and desexing certificate. I have met with and inspected the pet and agree to accept the pet in its current condition, health and behaviour. I have not relied upon any representation by Homeless Hounds in deciding to adopt the pet. I understand Homeless Hounds gives no warranties in relation to the pet’s health or temperament. If, at a later date, I find I am unable or unwilling to keep this pet or I feel the pet is unsuitable for any reason, I will contact Homeless Hounds and arrange a mutually convenient time to return him/her and all relevant paperwork to Homeless Hounds at no charge. I agree that I will not sell, give away or otherwise dispose of said animal to any person(s), dealer, retailer, auction, institute or any other entity for any reason. I agree to maintain and house the pet in a humane and responsible manner and to provide it with clean and adequate shelter, food, water and veterinary care. I further agree that said pet shall reside and roam freely inside my home and shall not be allowed to roam freely off my property. The pet will become a member of our family and as such will be cared for with the comforts of home in conditions explained to me by Homeless Hounds. I agree to take all necessary care and precautions with regards to the above mentioned pet for the duration of its natural life. If the pet is injured or sick, he/she will receive appropriate veterinary care and I agree to pay the costs of any such veterinary care unless you have asked to foster only and the Homeless Hounds will pay vet bills they deem appropriate. I also agree to pay any fines/fees etc. incurred whilst the pet is in my custody. This includes any breaches of the relevant local council regulations or laws (such as the dog being found “at large”), the pet being impounded, or being injured. The information I have provided to Homeless Hounds as to the property on which the pet is to be housed and my ability to maintain the pet in proper health is true and not misleading in anyway. I understand that Homeless Hounds may before or during the Settling In Period inspect the property on which the pet is to be housed to ensure the pet’s safety and security and that as a result of this inspection I may be requested by Homeless Hounds to return the pet. I agree to return the pet if requested to do so by Homeless Hounds at a mutually convenient time and place. I agree that this pet shall wear a collar or harness with identification tags at all times. Furthermore, the dog, will not be allowed off my property or allowed in any unsecured area without a collar and lead. I agree that in line with local government regulations, my pet will be registered with my local council and council by laws in relation to pet keeping will be abided by. I indemnify Homeless Hounds, its directors, employees and volunteers for any liability, costs or expenses which arise as a result of my actions or omissions (including negligence) or the pet’s condition, health or behaviour whether during or after the Settling In Period and acknowledge that Homeless Hounds is not liable or responsible for the pet in any way after the date of this application if you have paid for and adopted this pet. I also understand and agree that the Homeless Hounds gives no guarantees, expressed or implied, of the suitability of the animal to the adopter and/or his family Carer and or family. By selecting yes I agree I have read all of the above and understood all of the above information.
Yes
No
If you are adopting an animal are payment details are: A Homeless Hounds pet is a pet for life. Under DPI regulations should something not be suitable within the first 72 hours 75% of the adoption fee will be refunded. After which, refund is at our discretion. Payment of: $.TBA via email For cost of pet adoption by: Direct Deposit to: Homeless Hounds Rescue BSB:083251 Acc number 199632047 Please type your full name below with your address and date of birth, this is confirming you have digitally signed this form.
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