11
Feb

Adoption Questionnaire

By admin /

Please complete the form below to apply to adopt a dog.  Once the application has been approved and a home check has been completed you will be required to sign an adoption contract to complete the process.

If you hit Send but the form remains open on the page please scroll down and check that you have completed all the required fields, then hit Send again.

Mandatory fields are marked with an asterisk *

 

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* Name (Christian and Surname)
?
Please fill in the required field.
* Email
?
Please fill in the required field.
* Confirm Email Address
?
Please fill in the required field.
* Address
* Suburb
*State
* Post Code
Home Phone:
Mobile Phone:
* Do you work? Describe your job and whether you are full time/part time or casual.
Work Phone:
* Do you currently own, or have you previously owned, a working type breed? eg Australian Cattle Dog/Heeler, Stumpy Tail Cattle Dog, Border Collie, Kelpie or Koolie
* Do you currently have any pets? If so, what kind? Breed, age, gender, desexed? Are they good with other dogs?
If you said yes to the above, has your current dog been C5 vaccinated in the last 12 months? (C5 includes kennel cough)
If you have a dog currently where does it sleep? Inside or Outside? Describe its sleeping arrangements.
* Where will your new dog sleep? Describe the sleeping arrangements you have for the dog.
* Please describe your understanding of the exercise needs of a working type dog?
* Are you able to meet the needs above while the dog is in your care? Describe what type and amount of exercise you plan to participate in with the dog.
* Are you looking for a pure bred dog or are you happy to accept cross breeds also? Which of the working breeds are you after?
* What sort of accommodation do you live in? Apartment, house, farm? Please describe your property where the dog will live.
* Is your yard securely fenced? Please describe type (materials) and height of fencing. Please note that when applying to adopt a dog from AWDRI a home check will be performed wherever possible to confirm this.
* Who will be the main caretaker of this dog?
* If there is no-one at home where will the dog stay? Inside or Outside? If outside please describe where the dog will be contained including type of shelter.
* Will the dog be allowed inside? For how long each day?
* How many hours will the dog be left alone for each day?
* What will you do with the dog if you have to go out of town or move?
* Do you have a swimming pool? Is it fenced off so that your new dog cannot get to it?
* Do you have any children or other adults living with you? Please list them, their ages and sex.
* Are you renting or do you own your home? If you are renting do you have the owner's/landlord's permission to take in another dog?
Do you currently have a vet? If so please provide their name, phone number and clinic address so that we can contact them for a reference.
If you do not currently have a vet please provide the name and phone number of 2 personal references.
* Why do you want to adopt a working type dog?
What age or age range are you looking for in your new dog?
Please describe what personality or breed traits you are particularly seeking in your new dog? ie good with kids, protective, affectionate, working ability etc
Are you applying for a specific dog? If so please put its name here; otherwise if you wish to go on a waiting list please outline the sort of dog you are looking for.
How did you hear about Australian Working Dog Rescue?