Apply to adopt a dog

Do you have a fenced backyard?
- Yes
- No
- N/A
How busy is your street?
- Quiet
- Busy
- Heavy
Do you currently have any other pets?
Provide all other pets details including type, breed, temperament, age and desexed yes or no
All pet vaccinations, flea & worming are up to date?
- Yes
- No

Have you owned a dog before?
How long did you own it for & what happened to it?
Do you feel confident looking after a dog?
If unsure, would you like advice?
What would you do if your dog was found to suffer from behavioural problems?
- Surrender to a pound/shelter
- Access training/assistance
- Consult an animal behaviourist
- Ask Sydney Pet Resuce for help
How often/long each day would your dog be left alone?
What would you do with your dog during the holidays?
Would you consider pet insurance?
Even minor injuries can result in significant veterinary costs.
If unsure, would you live advice about pet insurance?

Background information
Do you or anyone in your household have any health or medical conditions which would affect your ability to care for a dog?
If yes or unsure, please provide details
Do you or anyone in your household have any disabilities which would affect your ability to care for a dog?
All health issues, medical conditions or disabilities are considered part of the matching process.
If yes or unsure, please provide details
Have you or anyone in your household been convicted of a criminal offence?
If yes or unsure, please provide date & details
Have you or anyone in your household been convicted of animals cruelty, animal neglect or had an animal removed from your care?
Please note a criminal check may be conducted.
If yes, please provide details

References
Referee 1: Name
Referee 1: Relationship
Referee 1: Phone
Referee 1: Address
Referee 2: Name
Referre 2: Relationship
Referee 2: Phone
Referee 2: Address
Please provide any other comments or information which you believe may assist us with your application
How did you hear about us?
- Internet search
- Charity event
- Word of mouth
- Recommendation
- Other

Adoption terms & conditions
1. A four week trial period if offered to ensure a safe and suitable match of the dog with its new home 2. Payment of the adoption fee and a signed adoption agreement activates the start of the agreed trail period. 3. To complete the adoption process, the above plus a transfer of ownership must be completed and signed. 4. An adoption application (this form) is an expression of an interest to adopt. Completion of this form does not guarantee approval to adopt. 5. If you see to foster a pet with a view to adoption, a site visit of premises where the pet is to be kept forms part of the adoption process. A foster application and adoption application must be completed and the adoption fee paid prior to commencement. 6. An adoption application (this form) may be referred to the Sydney Pet Resuce and Adoption Inc. committee for consideration. 7. Decisions on adoption applications are based solely on an assessment of the applicant's capacity and commitment to provide a safe, loving and permanent home for the pet under consideration. With this in mind, the Sydney Pet Rescue & Adoption Inc. assessment of adoption application is final.
I have read and understood the terms & conditions
- Yes
- No

Adoption declaration
I acknowledge that a dog may live for 15-20 years and I am willing and able to meet the costs that are likely to be necessary to care for my dog including ongoing costs of food, yearly vaccinations, regular flea & worm treatments over its lifetime. If my dog needs veterinary care I am willing and able to meet those costs. Both my family and I will welcome our dog as a member of the family and provide a secure, permanent and safe, loving home. I have the physical and financial capacity to include a dog within my family and I will be able to maintain a good standard of care. I will never surrender my pet to a pound or animal shelter. I intend to provide a 'fur-ever' home however should my circumstances change and I am unable to keep my pet, I will do everything in my power to help my pet find a new loving home. I confirm I am over 18 years of age and if I am in rental accommodation, I confirm I have my landlords permission to have a pet at the premises. I have read, understood and agree to the adoption terms & conditions shown above. All information supplied is true and correct and is not misleading in any way.
Name
Date

Dog preferences