Adoption Application Iron Dog Rescue

Are you able to travel to the rescue or foster home where the animal currently resides to meet the dog/puppy?	NoYes
Will you allow us to perform either a real time or virtual home check? *	NoYes
Dog you are interested in adopting	Arman (Dog - D2024046) Bluey (Dog - F2025006) Boof (Dog - I2025007) Boss (Dog - I2024110) Bridgette (Dog - I2024124) Chico (Dog - D2024049) Frankie (Dog - I2024118) Hamilton (Dog - F2024006) Hemi (Dog - I2024115) Hulk (Dog - I2024101) Ivar (Dog - I2024130) Nala (Dog - I2025008) Natasha (Dog - I2025005) Nigel (Dog - I2025003) Ranger (Dog - I2024120) Rocky Bal (Dog - I2024105) Roxy (Dog - I2024053) Sasha (Dog - F2024001) Skye (Dog - I2024107) Stevie (Dog - I2024131) Stewie (Dog - D2024017) Teddy (Dog - F2024007)
Applicant's First Name *
Applicant's Last Name *
Unit Number (if applicable)
Street Address *
City *
State *
Postcode *
Landline Number (if applicable)
Email Address * Please enter correctly as this is the main way we will contact you
Mobile Number *
Date of Birth
Drivers License Number - if no licence photo card number
How did you find out about us?	SavourLife PetRescue Internet Search Iron Dog Website Family/Friend Staff/Volunteer Facebook Other
Is this dog for you or someone else?	Myself Someone else
Do you own other pets at the current time?	NoYes
If yes, please list their names, breeds, and ages.
Are all of your current pets desexed?	Yes No N/A
How many pets have you owned in the last 5-10 years?
What happened to them?
Are your pets up to date on their vaccinations?	Yes no n/a
Have you ever surrendered a dog or cat to a shelter?	NoYes
If yes, please explain?
Veterinarian's Name If you have never owned a pet please tell us where you would go.
Veterinarian's Address, City, State, and Postcode Again if you have never owned a pet please list where you would go
Veterinarian's Phone Number
Have you ever had a pet euthanized?	NoYes
If yes, please explain:
How do you feel about having pets desexed?	Agree Disagree Not Sure
Are you familiar with flea & worm and heartworm prevention?	NoYes
If you have pets, will they adjust to a new dog in the house?	Yes No Unsure N/A
Were any of your pets obedience trained?	Yes No N/A
Please check the main reason you plan to adopt a dog:	Companion Family Pet Child's Pet Guard Dog Working Dog ie Trials, Stock work Companion for another pet Other
If you answered "other" above, please explain here:
Please describe in detail the nature of the dog you are looking for ie energetic/calm/fully trained/good with ....
Do you own or rent your home?	Own Rent Someone else owns the Home Someone else rents the Home
Please select your current residence type.	House Apartment Unit Rural Property Mobile Home Other
If you answered "other" above, please explain here:
How long have you lived at this address?	Less than one month 1-2 months 3-6 months 6-9 months 9-12 months 1-2 years 3-5 years 6-10 years 10 + years
If you rent, does your landlord and lease allow a dog ? Do you have written approval for the breed you wish to adopt?	Yes No Unsure N/A
Including yourself, how many people live in your household?
Please list the ages & relationship of those who live in your home.
Is everyone in your household aware that you are planning to adopt a dog?	Yes No N/A
Does anyone in your household have allergies to dogs/cats?	Yes No Possibly N/A
Employment Status	Full-Time Part-Time Retired Work from Home Stay at Home Parent Student Unemployed Other
If you chose "other" above, please explain:
If you are employed, what is your current occupation?
On average, how many hours per day will your pet be left alone?
How much do you think the annual medical bills will be for your pet?	About $100 $100 - $200 $200 - $300 $300 - $500 $500 +
What would you do if the bills went over this amount?
Will this pet be predominantly living inside, outside, or both?	Inside Outside Both
Please provide a description of this dog's potential living conditions.
Do you have a completely fenced-in yard? If so, what kind of fence?	Wood Chain Link Electric Plastic Iron Other Other (I do not have a fenced yard)
If you answered "other" above, please explain:
If you do not have a fenced yard, how will you let the dog out?
Are there times when the dog will be tied/chained up?	Yes No N/A
If yes, when will they be tied/chained up?
Where will the dog sleep?	In bed with me In bed with my child In a dog / cat bed In a kennel / crate Wherever he or she likes Outside Other
If you answered "other" above, please explain:
Will the dog spend any time in the garage?	Yes No N/A
If the animal will spend time in the garage, please explain when/why:
Do you have a pool?	NoYes
Is there a fence around the pool?	N/A Yes No
What kind of fence do you have around your pool?	N/A Wood Chain Link Plastic Iron Other
If you answered "other" above, please explain:
How will you handle housetraining?
How will you handle destructive behavior?
Will you keep the dog up-to-date with annual vaccinations and monthly flea/worm preventative?	NoYes
If no, please explain:
Are you willing and able to exercise the dog on a regular basis?	Yes No N/A
If yes, what is the method of exercise?	Walking Running Dog Park / Dog Run Other
If you answered "other" above, please explain:
Have you ever been convicted of abuse or neglect of a child or animal?	NoYes
If yes, please explain:
If you drive a ute, would you allow the dog to ride in the back/bed?	Yes No N/A
What arrangements will you make for the care of your dog in case of an emergency?	Leave with family/friend Boarding Pet Sitter Take with me/us Other
If you answered "other" above, please explain:
What will you do with the dog when you go on vacation?	Leave with family/friend Boarding Pet sitter Take with me/us Other
If you answered "other" above, please explain:
For what reason(s) would you consider returning/giving up the dog?
What would you do with your dog if you had to move?	Take him / her with me Give to family or friend Return to shelter Other
If you answered "other" above, please explain:
Are you willing to take responsibility for this dog for the next 10-20 years and care for them in their senior years?	NoYes
If no, please explain:
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way.	Yes No
By clicking the submit button, I agree to the Iron Dog Rescue adoption process which will not guarantee adoption but is a preliminary contact check. By clicking the submit button, I understand Iron Dog Rescue will check my references including veterinary. By clicking the submit button, I understand that if accepted for meet, physical or virtual, which results in adoption there is an adoption fee which is not to be negotiated and is payable on pickup. I understand this donation will ensure the organisation is equipped to rescue another dogs in need and therefore, adoption donations and deposits are non refundable after the trial period of 14 days. I agree that I will be responsible for transport fees above the adoption fee. By clicking the submit button, I agree to indemnify and hold harmless Iron Dog Rescue against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed. By clicking the submit button, I understand that Iron Dog Rescue will disclose any of the pet's health or behaviour issues known by the above named rescue group before adoption is completed. By clicking the submit button, I verify all of the above information is true and accurate.