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Adoption Application
Comments
This field is for validation purposes and should be left unchanged.
Dog Name
(Required)
Dog ID
(Required)
Applicant Name
(Required)
First
Last
Applicant Email
(Required)
Applicant Date of Birth
(Required)
Applicant Phone Number
(Required)
Applicant Address
(Required)
Include street number, street name, suburb.
State
(Required)
Queensland
New South Wales
Victoria
South Australia
Northern Territory
Western Australia
Tasmania
Please select one
Postcode
(Required)
Emergency Contact
(Required)
Please provide name and mobile number.
Employment Status
Employed full-time
Employed part-time
Self-employed
Unemployed
Student
Retired
Unable to work
Prefer not to say
Please describe your household
How many people, what ages, other pets, typical schedule.
Do you own or rent your home?
Own
Rent with landlord approval to have a dog
Rent without landlord approval to have a dog
Please describe your home environment
Apartment
Suburban home
Rural property
Where will the dog live?
Indoors
Outdoors
Both
If outdoor access only, can you provide a secure, warm and weatherproof area?
Yes
No
Do you have other pets?
If yes, please list species, age, breed, sex and temperament.
Are your current pets desexed?
Yes
No
Do you have secure fencing suitable for a dog?
Please include fence height, type and materials used.
What size, type and temperament of dog are you seeking?
e.g. active, playful, calm.
How would you describe your lifestyle?
e.g. energetic, relaxed, social.
Do you plan to undertake training or attend training classes?
Yes
No
How will you exercise and socialise your dog?
How much time will the dog spend alone?
e.g. do you travel or leave the dog alone overnight?
Do you understand and accept that this dog is a pound rescue and may require time, training and patience to settle into their new life?
Yes
No
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