Redcollar Rescue Adoption Application

Drivers license number *
Animal you are interested in adopting
If you have no specific dog in mind, please describe what you are looking for
Is the information on this form provided by the potential owner, being 18 years of age or over? * Even if completing the form for somebody else, it must include the information of the potential owner who must be fully consulted on all answers, as they will be corresponded with directly from this point
Applicant's First Name *
Applicant's Last Name *
Please select your current residence type. *
Street Address *
City/suburb *
State *
Post Code *
Home Phone Number
Work Phone Number
Mobile Phone Number
Email Address Please enter carefully as this is the main way we will contact you
Please select the main reason you plan to adopt a pet:
If you answered "other" above, please explain here:
Do you own or rent your home?
If renting, how long have you been at that address. Written consent from Property owner will be required prior to adoption. *
Please state how many adults live in the house; and how many children, and their ages.
What was it that attracted you to this dog specifically?
Is there any attribute or behavior you absolutely could not handle in a new canine family member?
Are there other animals at the residence? Including livestock Please consider in your answer all animals at the residence, not just those owned by yourself
If yes, please list whether male/female, their breed types, and approx ages.
Are all of your pets desexed and microchipped?
are all dogs/cats at the residence vaccinated?
if yes, approximately when were they last vaccinated?
Are you familiar with heartworm and heartworm prevention?
How do you predict any existing pets will respond to a new dog?
Are all dogs at the residence registered with council?
If you answered no to the above, please discuss.
Have you owned a dog before?
If yes, how long ago?
Have you ever taken an animal to a rescue or shelter, or re-homed it to another person?
If yes, please discuss.
Is everyone in your household aware that you are planning to adopt a pet?
Does anyone in your household have allergies to dogs/cats?
Will this pet be predominantly living inside, outside, or both?
Where will the dog sleep?
On average, how many hours per day will your pet be left alone?
When you are not at home, where will the dog be?
If you answered "other" above, please discuss.
How high are your fences at both lowest and highest points (include gates in your answers)?
What are fences and gates made of (dog wire, timber palings, colourbond etc)
Are you willing and able to exercise the dog on a regular basis?
If yes, what is the method of exercise?
If you answered "other" above, please explain:
What will you do with the animal when you go on holiday?
Do you agree to return the pet to us, should your circumstances change or the adoption not work out?
Under what circumstances could you imagine giving your pet up?
How will you look for your pet if it becomes lost?
Do you understand that dogs can live 10-20 yrs? Are you willing to take responsibility for your pet for that long and keep it up to date with vaccinations and parasite prevention?
Will you be able to afford veterinary treatment if your pet becomes ill or injured?
Do you presently have a vet? If yes, what is their name and number?
Please include anything not already covered in the application that you'd like us to know.
By submitting this application, I agree that ALL the information I’ve provided is true and correct. Providing untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of this adoption. I understand that in some instances a property check may be required. *

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