Adoption Application Form

First Name *
Last Name *
Date of Birth *
Email Address *
Physical Address *
City *
Mobile Number *
What is the name of the dog you are interested in? If you are looking for a dog that best fits you and your family, please write Best Fit *
Are you and your family open to being matched with a Poundie other than the one you have applied for? *	Yes, I'm open to the best fit for my family No, we are only interested in the one I've applied for
If applying for a "Best Fit" please tell us what SIZE poundie would best fit your family	Small Medium Large No Preference
How many dogs are currently in your home and what breed are they? *
Are the dogs in your home *	Entire Male Entire Female Castrated Male Desexed Female No Dogs
Are your dogs vaccinations up to date? *	Yes No No Dogs
Does your dog have a current Council Registration *	Yes No No Dogs
Have you had to deal with Council over any animal control issues (involving your own dog/s) within the past 5 years? *
Are there any types of dogs that you or your current dogs don't like? *
How many dogs have you owned and what breeds were they? Please do not say "Many" and "All Sorts over the years". Be specific. *
Are you able to provide your dog with a daily walk/run? *	Yes No Usually
Tell us about the TYPE of daily exercise you can provide *
Tell us about who is in your family. (Please tick as many as apply) *	Children 0-7 years Children 8-12 years Children 13-18 years Cats Chickens free range Chickens enclosed Rabbits/Guinea Pigs Sheep Goats Stock
Do you rent or own your own home? *	Rent Own Home
If you are renting, we require written permission from your landlord.	I have written permission I am obtaining written permission
If you have written permission please upload a copy here
How long have you been living in your current home? *
Describe the area where you would keep the dog when it's home alone or where it's able to hang out unattended outside. Eg: Fence height, what is the fence made of, is it dog proof etc *
What is the lowest point of this outside area fencing where the dog may be left unattended? *	Less than 1 meter 1 meter (3ft) 1.2 meters (4ft)1.5 meters (5ft) 1.8 meters (6ft) Higher than 1.8 meters (6ft+)
Where will the dog be kept during the day? *	Inside the house Inside the house with access to outside Outside fenced with shelter Outside penned Outside tethered (tied up or chained) In doggy daycare
Where will the dog be kept at night? *	Inside the house Inside the house with access to outside Outside fenced with shelter Outside penned Outside tethered (tied up or chained)
This is your chance to tell us about you, your family and why you'd be a good match for your chosen Poundie. It helps us to match our Poundies to their forever homes when we know as much as possible about any potential families. Tell us about your home, what sort of activities you like to do, are you active or do you prefer to stay home? Any places you really like to go? Any info you give increases the chance of you potentially being a match. *
Before submitting your application, please be aware that a background check of your history with Animal Control as well as a property check and subsequent approval is required before any of our Poundies head to their new homes. All Poundies must be in a secure, fully fenced section with access to the inside of the house. All Poundies are desexed before leaving our care - NO exceptions. Our Poundies are not just dogs, they are family and we do our best to ensure they go to the home that will best suit their needs and personality. Please ensure that you have thoroughly read the profile for the Poundie you are applying for. Please do not be offended if your application for a particular dog is not approved. I have read and understand the above adoption criteria and I have completed this form truthfully and completely to the best of my knowledge *	Yes I understand