Animal you are interested in adopting
Applicant's First Name *
(Must match your driver's license for registration)
Applicant's Last Name *
(Must match your driver's license for registration)
Street Address *
City *
State *
Apartment Number (if applicable)
Post Code *
Phone Number *
Email Address *
Please enter correctly as this is the main way we will contact you
Alternate Phone Number
Is this pet for you or someone else?
Myself
Someone else
Do you own other pets at the current time? *
No Yes
If yes, please list their names, breeds, and ages.
Are all of your pets spayed/neutered/fixed? *
Yes
No
N/A
Are your pets current on their vaccinations? *
Yes
no
n/a
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
Townhouse
Farm
Acreage
Other
If you answered "other" above, please explain here:
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 pet?
Yes
No
N/A
Does anyone in your household have allergies to dogs/cats?
Yes
No
Possibly
N/A
When you press submit, it will take you to a new page that says 'Thank you'. If you press submit and the page scrolls to a different spot in the form, there is a field you have missed. Fields with a red Asterix * are required fields. This includes the checkboxes at the bottom.
Will this pet be predominantly living inside, outside, or both? *
Inside
Outside
Both
Please provide a description of this pet's living conditions. *
It is in the best interest for both wildlife and cats to be indoor only, or outside with a secure enclosure. Do you agree to this?
No Yes
Another image
Image
Where will the animal 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 you keep the animal up-to-date on vaccinations and FIV preventative? *
No Yes
If no, please explain:
*
I understand that completing this application does not guarantee I will be allowed to adopt a pet, and that the application is a tool to help Willow Tree Sanctuary determine if this pet and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or removal of the adopted pet from my possession. I also certify that I have never been convicted of animal cruelty or neglect. If I am approved to adopt a pet, I agree to pay a non-refundable adoption fee (with a 2 week trial period) and sign an adoption contract at the time of adoption. I understand that all pets adopted from Willow Tree Sanctuary will be speyed/neutered, heartworm tested, and vaccinated prior to adoption.
*
I understand that Willow Tree Sanctuary are the legal owners of all animals until the full adoption fee is paid and all vet work has been completed.
*
I understand that the adoption fee must be paid in full prior to the animal being sent on trial; or in the case of a foster fail, as soon as the adoption application has been received and approved.
*
I agree that the animal is being adopted for myself/family member and will not be sold, adopted, or given to another party.
*
I agree that the animal will be a companion animal and will live as part of my family.
*
I agree to care and house the animal in a humane manner. This includes providing adequate food, water, shelter, enrichment and veterinary care.
*
I agree to provide all regular veterinary treatments to my animal; including yearly vaccinations, parasite control and immediate treatment of any illness or injury.
*
I agree and understand that it is a Willow Tree Sanctuary requirement that the animal is desexed prior to any adoption being finalised.
*
If the animal is rehomed with another pet, I agree to carefully supervise them when they are together and will not leave them alone together until I am confident that there will be no conflict.
*
I understand that the animal may need extra patience and understanding; and I agree to allow the animal a reasonable time to adjust to new surroundings.
*
I agree and understand that I should have a full health check done for this animal by my own vet during the trial period to confirm the health is as stated by Willow Tree Sanctuary. If my vet identifies issues I will refer this vet report to Willow Tree Sanctuary staff and they will seek consultation and treatment (if deemed required) at their approved vets. Any treatment done during this health assessment at a non approved Willow Tree Sanctuary vet will not be covered. If I choose not to do this, Willow Tree Sanctuary will not be liable for medical expenses.
*
I understand and agree that Willow Tree Sanctuary will only cover pre-approved veterinary expenses for the animal during the trial period, by a Willow Tree Sanctuary authorised Veterinarian. Willow Tree Sanctuary will not reimburse any unauthorised expenses before the adoption is finalised.
*
I agree to communicate with Willow Tree Sanctuary regarding the progress and welfare of this animal if I have any issues or concerns throughout its lifetime.
*
I agree that if at any point I am unable to keep this animal throughout its lifetime he/she will never be surrendered to or sold to any other person or organisation; I will return him/her to Willow Tree Sanctuary.
*
I agree and understand that there will be a minimum of a two week trial period prior to any adoption; longer if deemed suitable by Willow Tree Sanctuary. During this time I shall take full responsibility for the animal and will abide by the Willow Tree Sanctuary terms and conditions.
*
I agree that if I wish to return this animal to Willow Tree Sanctuary during the trial period there will a full refund of the adoption fee minus a $50 administration fee.
*
I understand that although every animal adopted has been tested for temperament & behaviour, I agree to take on trial/adopt the animal at my own risk and indemnify; and release Willow Tree Sanctuary, its management committee and volunteers, of any and all liability arising from damages to person(s) or property caused by the animal.
*
I agree to keep this animal’s microchip updated and correct at all times. I also agree that Willow Tree Sanctuary remain as a second contact on the microchip details of the animal.
*
By checking the box below and accepting an animal into my care, I acknowledge that I am bound by and agree to the above terms and conditions of adopting for Willow Tree Sanctuary. Furthermore I understand that should I be in breach of the above terms and conditions my application will be terminated and I may be held liable (financially or otherwise) for any damage, death, illness or injury caused by or to my animal. *
Date *
When you press submit, it will take you to a new page that says 'Thank you'. If you press submit and the page scrolls to a different spot in the form, there is a field you have missed. Fields with a red Asterix * are required fields. This includes the checkboxes at the bottom.