Application for adoption Application for adoption Application for adoption Dogs Name * Applicants full name * First Home Phone Number Cell Phone Number * Email * Website Address * City Region Post Code Do you live in a * Home Lifestyle Block Farm Apartment Unit/Flat Other Do you currently * Rent Own Landlords Permission * Yes No If you rent, have you discussed having a pet with your landlord and do they approve? Names and ages of people living with you * Please list all the names and ages of people living with you Is anyone in your household allergic to dogs? * No Yes Who will be responsible for the dog/puppy? * When owning a dog there is a yearly financial obligation. Have you considered this and are you willing to commit to paying the yearly costs (food, Vet care, registration, supplies) Are you willing to do this for your dog/puppy for its entire life? * Yes No Do you have a fenced in yard? * Yes No Fence height * Low - up to 1.2 metres Medium - 1.2 to 1.5 Metres High - 1.5 to 1.8 Metres Fence Material * Wooden - eg: pallings Iron - eg: corrugated iron Concrete - eg: Concrete Block wall Other Have you ever owned a dog before? * Yes No For How Long? What happened to these dogs? * Were these past dogs registered? * Yes No Were your dogs Desexed? * Yes No If not desexed why? * Have you ever owned a dog/puppy that you turned over, was relinquished or taken by Animal Control, SPCA or another animal rescue group? * Yes No please give details * Was the dog reclaimed? Yes No If no, please explain If your new dog/puppy were ever picked up by Animal Control (or other such group) would you reclaim it? Yes No If no, please explain What are you looking for in a dog or puppy? * Companion For breeding For hunting A gift for someone Family pet Companion for another dog For protection Other What type of energy are you looking for in a dog/puppy? High Med-High Med Med-Low Low Are you looking for your dog/puppy to be * Inside pet Outside pet Inside/Outside pet How many times per week can you commit to taking the dog/puppy for a walk? * What other types of activities would you like to do with your dog/puppy? * Where do you specifically plan on keeping the dog/puppy during the day? If inside during the day, will someone be home to let the dog out for toileting? * Yes No If no, please explain * How long will the dog/puppy be left alone during the day? * Where will your dog/puppy sleep at night? * How are you planning to help your new dog/puppy adjust to your home and lifestyle? * Your new dog/puppy will need a lot of time spent on it helping it to adjust to your life and your home. Are you willing to do this? * Yes No If No why? * How do you plan on caring for your dog/puppy when you go away for a holiday? * What do you plan to do with your dog/puppy if you were to shift house? * If this dog/puppy became destructive what would you do? Do you have other pets? Yes No If so, how many and what kinds? * Are your current dogs registered? * Yes No Are your current dogs desexed? * Yes No Would you allow a home visit by a Property Inspector? * Yes No If no, please explain * To help prevent unwanted dogs, Adoptadog strongly suggests de-sexing of your new dog/puppy. Would you agree to this? * Yes No If no, please explain * Please provide your current Veterinarian's name and number as a reference * Please tick to confirm that you have read and agree with Adoptadog's Terms and Conditions * I agree to the Adoptadog adoption terms and conditions . I do not agree to the Adoptadog adoption terms and conditions .