Adoption Application: DOG - new form
Thank you for your interest in adopting a homeless pet! Together we can
save lives and make a difference!
Your responses to these questions are confidential. The purpose of this
questionnaire is to help find the perfect match between pet adopter and
pet, ensuring a lifelong happy relationship. It may seem daunting but it
is to ensure you are getting the pet that will suit your lifestyle, and
that your home will suit the pet’s needs.
All questions require an answer except those in ITALICS.
Please provide as much detail as possible in all answers.
All applicants MUST be eighteen years of age or over. If you are not,
please have a parent or guardian complete the form.
Why does this dog appeal to you? Why do you feel this dog may be the right
fit for your home? Please use this space to tell us anything you feel is
e.g. cat friendly, low-shedding, etc
e.g. professional grooming required, high prey drive, etc
Your experience & home environment
Please include as much detail as possible, including breed, size, activity
level, age, etc.
Please also include your approximate age during ownership (teen, young
Please include all animals including type (include pocket pets/farm animals,
etc), breed, size, age, energy level and if they are desexed, etc.
(e.g. 'Ace' dog, 4yrs, small Terrier cross, very active, desexed)
e.g. Ace the dog is friendly with most dogs, though can be frightened
of giant breeds
e.g. Our chooks have no fear of dogs
e.g. partner, 12yo child, etc
Please include details about any shelter that will be provided.
e.g. evenings, only when someone is home, always, occasional, etc
Please include approximate size, fence type and height, etc.
Please include details if you have a pool - fenced off from the yard/height
of fencing etc.
i.e. in the event of the death of all owners, will the dog have someone
willing to take them in?
Do you give us permission to conduct a home and yard inspection at a mutually
agreed upon time?
If you adopt from us, would you be willing to provide the occasional update
on the dog’s progress (quick email & a photo here and there?)
By submitting this questionnaire, you agree that ALL information you have
provided is correct. You understand that providing untruthful answers or
failure to comply with the requirements of this application can result
in the refusal of this adoption.
You understand that a property check will be required.
We reserve the right to refuse any applicant.