Dog Adoption

1

Name of dog you want to adopt

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2

Adopters name (First and Last Name)

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3

Co-adopters name (First and last)

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4

Your age

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5

Your Employer

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6

Co-adopters Employer

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7

AddressStreet Address, City, Town, Country, Postcode

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8

How long have you lived at this address?

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9

Your email address

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10

Co-Adopters email address

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11

Phone Number including area code and country code

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12

Names and ages of all permanent residents in your home (Adults and Children)

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13

Current pets that live in your home

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14

Vet Reference and name of Vet

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15

When will you be ready to adopt the Dog?

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16

Are you planning to move in the near future?

YESNO

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17

If answered YES where are you moving- City/State

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18

Are you going to meet another dog?

YESNO

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19

If you answered YES to the previous question when will this be?

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20

Is there anyone in your home allergic to dogs?

YESNO

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21

Does anyone in your home fear dogs?

YESNO

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22

Does anyone in your home smoke?

YESNO

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23

Are you familiar with the dog regulations in your area?

YESNO

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24

What are the regulations?If you answered NO to the previous question please check your council areas dog regulations

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26

Do you own or rent your home? If you rent you must include a letter or statement from your Landlord to say they will allow dogs on the property and show any limitations. f you live in a townhouse or Condo you must show written proof that you are allowed to have a dog there and show any restrictions.

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27

Approximate square footage of your house

Less than 800 square feet

800-1000 square feet

1000-1500 square feet

1500-2000 square feet

Over 2000 square feet

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30

Do you work outside the home?

YESNO

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31

Is anyone home during the day?

YESNO

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32

How many hours will the dog be on his/her own?Please explain

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33

Family MembersWe would like to speak to all members of the household to confirm that everyone is aware of this application process and wants to have a dog added to the family unit. Please do not submit this application if you are trying to talk someone into "Adopting this dog" or you think once they meet the dog they will want to keep it, or use "Im getting the dog as a birthday present for someone. You are most welcome to email us to discuss the dog but we would like all adults in the home to be involved in that email discussion

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34

Who would take care of the dog when you go away or in an emergency?

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35

Based on the Dogs Bio do you feel pretty confident that you will be likely to adopt this dog upon meeting him or her?

YESNO

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36

If answered NO why is this?

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37

If your Dog develops behavioural issues such as chewing, urinating inside, excessive barking are you prepared to deal with this?

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38

How much do you think you can reasonably afford and would be willing to spend on your Dog per year (things such as Veterinary care, licensing, Dog Tags, food, crate, pet sitting)?

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39

What activity level do you prefer?

Wild and crazy is cool

Leash trained and daily jogging partner

Medium energy, plays and then relaxes a bit

Low energy

A total couch potato

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43

In your opinion what would justify returning a pet?

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44

In your opinion what is the reasonable time for a dog to adjust to life with you/ your family?

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45

How do you plan to integrate this dog into your family?

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46

Are you aware of crate training?

YESNO

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47

Have you ever housetrained a dog before?

YESNO

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48

Are you aware that a new environment/a new country is stressful for your pet and they may exhibit uncharacteristic behaviour?

YESNO

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49

Do you plan to take obedience classes with your dog?

YESNO

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50

What type of food do you plan to feed your dog?

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52

What would you do if you discovered after adoption (any time of life) that your vet diagnosed an expensive health condition?

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53

Do you plan to get pet insurance?

yes

No

did not know this was available

Other

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54

How long have you been looking for a dog?

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55

Why do you want to adopt a dog/ or a dog from overseas?

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56

Do you have any additional comments, questions or concerns? Anything else that you think is important so we can match you up to a dog?

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57

Please sign (type) you have read and understood all the information above

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