North Queensland Animal Rescue Adoption Enquiry Form

Please complete this adoption application if you have met the animal you are applying for or for out of town adopters, have spoken to their foster carer at length.

(* indicates mandatory fields)

First Name *
Surname *
Phone Number *
Email Address *
Suburb/State: *
Are you 18 years of age or older? *	YES NO
Is there a particular dog you are interested in? *	YES NO
interested in
Please tell us a bit about yourself and the home/lifestyle you could offer an NQAR dog. This will help us determine your potential suitability for the particular dog you are interested in, or if making a general enquiry this will help us to suggest a dog that might be a good fit.
Why are you interested in adopting a dog (i.e.companionship for yourself or another pet, guard dog, potential therapy dog, exercise buddy, etc)? *
Who else lives in your household including any children and their ages. *
Do you have any other pets? Please list how many and what type. For dogs, please advise male/female, age and breed. *
Do you have a fenced yard? Please describe the fencing. *
How many hours on average would the dog be left alone (without humans) each day. *
If enquiring about a specific dog, do you have experience with its breed? *
Please describe your general activity level and the energy levels you are looking for in a dog. * Ie. Mon-Fri 9-5. Wife Tuesday - Thursday 9-3
Please provide any other information re your lifestyle and what you are looking for in a dog. *

Please be aware that the next step in the adoption process will be a property check. Once we have received your form we will be in touch to organise this.