Dog Adoption Form
Dogs Name
Dogs Gender
Female
Male
Please provide any additional requirements you need to assist us in helping you find the best fit for your family
Applicants Details:
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Mobile
*
Email
*
example@example.com
DOB
*
-
Day
-
Month
Year
Date
Second Applicants Details:
Leave blank if there is only one applicant.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Mobile
Email
example@example.com
DOB
-
Day
-
Month
Year
Date
Identification
We will need two forms of identification for each applicant to finalise your application.
You must provide a copy of your ID's using either upload or photo or your application will be denied
*
I understand
First Applicants Identification
ID #1 Type
*
ID #1 Reference
*
ID #1 Expiry
*
-
Day
-
Month
Year
Date
Front Photo
*
Back Photo (if applicable)
*
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ID #2 Type
*
ID #2 Reference
*
ID #2 Expiry
*
-
Day
-
Month
Year
Date
Front Photo
*
Back Photo (if applicable)
*
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Second Applicants Identification (If Applicable)
You must provide a copy of your ID's using either upload or photo or your application will be denied
*
I Understand
ID #1 Type
ID #1 Reference
ID #1 Expiry
-
Day
-
Month
Year
Date
Front Photo
Back Photo (if applicable)
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ID #2 Type
ID #2 Reference
ID #2 Expiry
-
Day
-
Month
Year
Date
Front Photo
Back Photo (if applicable)
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Application Details
Have you ever owned this breed before?
*
Yes
No
What previous dog experience have you had with this breed, if any?
*
Is this dog intended as a pet only, or do you wish to use the dog for security purposes, dog sport or other? If so, please explain in detail what use you wish to use this dog for
*
Please explain your training techniques
*
What sort of equipment do you use to train and walk your dog and why?
*
Would you be willing to see professional training for your dog?
*
Yes
No
Other
Who would you use as your dog trainer? Have you used them with previous dogs and would they provide you with a reference?
*
What enrichment items would you use for your dog (eg. toys etc)?
*
What exercise will you be providing for your dog?
*
What is your vets details, for referral?
*
What food will you be feeding your dog?
*
Are there any other pets in the household?
*
Yes
No
Other
Please provide more details
Breed
Age
Sex
Vaccinated
Desexed
Animal
Animal
Animal
Animal
Animal
Have they been socialised with other dogs and how do they behave? If your other animals are cats, pocket pets, birds etc, how do you propose to introduce your new dog to them?
Can you keep your new dog separated from your other animals for proper slow introductions? If so, please explain how you plan to do this.
*
Do you already have the permitted number of dogs at your property?
*
Yes
No
Other
Have you surrendered an animal to a shelter, pound or rescue?
*
Yes
No
Other
Please provide more details of surrender
Have you ever had a dog impounded?
*
Yes
No
Do you have children living at or visiting your home regularly?
*
Yes
No
Other
Please provide more details
Gender
Age
Permanent or Casual Care?
Do you or anyone in your home have any health concerns that we should be aware of (this is to ensure the dog meets your needs)? If so what are they?
*
Do you own your own home?
*
Yes
No
Other
If not, please provide a copy of your rental agreement that agrees for you to have animals.
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What type of property do you have?
*
Is your yard fully fenced?
*
Yes
No
Please provide more details
*
Type of Fencing
Height
Does it fully surround all areas the dog will be kept?
Do you have secure gates that can be locked?
*
Yes
No
Other
You must provide photos of your fencing and yard using either upload or photo or your application may be denied
*
I Understand
Please provide clear photos of your full fencing and yard
Please provide clear photos of your full fencing and yard
Please provide clear photos of your full fencing and yard
Please provide clear photos of your full fencing and yard
Please provide clear photos of your full fencing and yard
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What is the size of your yard?
*
Do your neighbours have other animals? If so, what do they have?
*
Your dog will most likely be?
*
Inside Only
Mostly Inside
Inside/Outside
Outside only
Other
How long will your dog be spending time outside?
*
< 4 hrs
4-6 hrs
6-9 hrs
9-12 hrs
< 12 hrs
Where will your dog be sleeping at night?
*
Inside free roaming
Inside in a crate
Outside free roaming
Outside in a crate
Outside in an enclosure
Other
If Other please explain
Please describe the shelter/shade available outside for your dog
*
How long will the dog be on its own each day?
*
< 4 hrs
4-6 hrs
6-9 hrs
9-12 hrs
> 12 hrs
What sort of work do you do?
*
Stay/work from home
Casual
Part Time
Shift Worker
Uni Student
Full Time
Are you willing to allow a home and yard check?
*
Yes
No
Other
If you need to rehome your dog anytime in the future, you agree to return the dog to us?
*
Yes
No
Signature
*
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*
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