Adoption Application DOGS INFORMATIONName*Age*Breed*How Did You Discover This Dog?*Have You Had A 'Meet & Greet' With This Dog?*If Yes, Do You Believe There Was Any Issues?APPLICANTS INFORMATIONFull Name*Date Of Birth*Home Address*CountryAustraliaContact Phone Number/s*Email Address*Driver Licence NumberAre you a Permanent Australian Resident?*Please Upload A Copy Of Your Drivers LicenceIf you do not upload a copy here, you MUST email us a copy straight away as your application will NOT be processed until this is received Character Reference Details*Full Name: Date Of Birth: Relationship To You: Contact Phone Number:HOUSEHOLD INFORMATIONNo. of Adults Who Will Be Living With The Adopted Dog*(Including Yourself)Details Of Other Adult/s Who Will Be Living With The Adopted DogFull Name: Date Of Birth: Relationship To You: Contact Phone Number:Copy And Paste Headings If More Than One Adult (Excluding Yourself) No. Of Children Who Will Be Living With The Adopted Dog*Age/s Of ChildrenHave These Children Been Around Large Breed Dogs Before?Please SelectYesNoABOUT YOUR HOMEIs Your Home*Please SelectRentedOwnedOtherIf ‘Other’, Please ExplainIf Rented/Other, Do You Have Written Approval To Keep A Dog?*Please SelectYesNoIf Yes, Please Attach A Copy HereYard Fencing Type?*Including HeightDo You Have A Pool?*Please SelectYesNoIs It Securely Fenced Off?*** IF YOU DO NOT UPLOAD PHOTOS BELOW, YOU MUST EMAIL THEM TO US STRAIGHT AWAY***Your application will NOT be processed until these have been receivedPlease Upload Photos Of Your YardFencing/Where Adopted Dog Will Sleep/Undercover Areas/Pool Fencing etcDo You Have Current Home Insurance That Includes Liability Cover?*Please SelectYesNoHas Your Home Environment Ever Been Exposed to Parvovirus?*Please SelectYesNoCARING FOR YOUR NEW DOGWho Will Be The Adopted Dogs Primary Care Giver?*Where Will The Adopted Dog Sleep?*Where Will The Adopted Dog Spend Majority Of His/Her Time?*If Outside, How Will You Supervise The Adopted Dog’s Activities/Interaction With Other Pets?Do You Plan To Take An Obedience Class With The Adopted Dog?*Please SelectYesNoOnly If RequiredUndecidedHow Long Will You Allow The Adopted Dog To Take To Adjust To Their New Home?*Are You Willing To Work Through The Adopted Dogs Issues, If Any?*Any Other Comments/Questions?Do You Work Or Study Full Time/Part Time/From Home/Unemployed/Retired etc?*If You Work Or Study, How Many Days/Hours A Week Do You Work?Any Other Commitments That Take You Away From Your Home?*Sports/Business/Travel etcHow Long Will The Adopted Dog Be Alone At Home For Each Day?*Have You Considered The Following?* EXCERCISE: Majority of dogs require a minimum of 30 minutes of exercise per day (In addition to play time) and some larger breeds need more TIME: Basic needs take time (Training, Exercise, Vet Care, Grooming, Play Time) OBEDIENCE: Chewing, Digging, General Obedience SOCIALISATION: Maintaining a dog’s socialization skills (Dog Parks, Obedience Lessons) NEW ENVIRONMENTS: Can be stressful for your Adopted Dog and they may exhibit uncharacteristic behaviour? COST: Including monthly Worming, monthly Tick & Flea treatments, annual Vaccinations, Council Registration, unexpected or emergency Vet Bills, Pet Insurance, Toys, Bedding, Food, Collars, Leads etc? A large breed dog can take up to TWO years to mature, Is this something you are prepared for? CURRENT/PREVIOUS PET INFORMATIONDo You Currently Have Any Other Dogs?*Please SelectYesNoIf Yes, Please ExplainSex/Age/Breed?If Yes, Are They Desexed?Please SelectYesNoPlease Upload Their Certificate Of DesexingIf Yes, Are Their Vaccinations Up To Date?Please SelectYesNoPlease Upload Their Most Recent Vaccination CertificateIf Yes, Are They Social? Please ExplainTemperamentDo You Have Any Other Pets/Animals?*Please SelectYesNoIf Yes, Please SpecifyType/Age/TemperamentHave You Adopted From An Animal Welfare Group Or Pound Before?*Please SelectYesNoIf Yes, What Animal Welfare Group Or Pound?Have You Ever Re-homed One Of Your Pets Or Surrendered To An Animal Welfare Group Or Pound Before?*Please SelectYesNoIf Yes, What Were The Reasons/Circumstances?Current Veterinarians Details?Name of Business/Address/Phone NumberPlease Remember To Include The Following When Returning Your Application Copy of Your Driver Licence Written Approval From Your Landlord To Keep A Dog On The Premises (If Renting) Photos Of Your Yard And Fencing Copy Of Your Current Dogs Vaccination/Desexing Certificate (If Applicable) If you have not uploaded these within this form, you MUST email us a copy of them straight away as stated throughout this application ([email protected])THE AGREEMENTI understand that I am entering into a binding agreement between myself and the Trustee for Forgotten Souls Dog Rescue for adopting this dog and I confirm that I have read this entire agreement carefully and fully understand all aspects before signing (submitting)Please Tick Each Box Below To Show Us That You Understand And Agree* I understand and support the mission of Forgotten Souls Dog Rescue, which is to provide shelter and care for dogs, provide programs and services that enhance the bond between dogs and people and to be advocates for dogs as they cannot speak for themselves I agree that this dog is being adopted as a companion pet and will be provided with proper food, water, shelter, exercise and access to provide necessary veterinary treatment, the dog will be given a loving home and not be kept solely in the yard without interaction,this dog is not a gift, working animal or to be trained as a guard dog I agree that this dog is NOT to be used for any hunting purposes I agree to care for and maintain the dog (at my own cost) and keep up to date with all immunizations and worming treatments I understand that there will be a two (2) week trial period, within this time should the adoption prove unsuccessful, the adoption fee will be refunded as stated below, I agree that within this trial period, the dog shall not be let off lead at any time I understand that, after the two (2) week trial period has ended, the adoption fee is non-refundable I understand that the dog’s microchip is to stay in the name of Forgotten Souls Dog Rescue until the adoption fee has been paid in full I understand that in the event that I have to surrender the dog back to Forgotten Souls Dog Rescue, I will notify Forgotten Souls Dog Rescue immediately and will keep the dog in my care and work with them until the dog is placed in an approved home If the animal is currently under veterinary care, I confirm that I have been notified of any current medical conditions as far as Forgotten Souls Dog Rescue has been made aware and have been provided with one course of medication that the dog is currently taking, I understand that any veterinary problems that now may arise with this dog, including serious illnesses requiring emergency care or surgery are now my responsibility, and I will bear all related costs and will provide the proper veterinary care to the dog in a timely manner I confirm that I understand that this dog may not be sold or given away without the express written permission of Forgotten Souls Dog Rescue I agree to register the dog with my local council and maintain current dog registration on reaching 6 months of age as per the “Companion Animals Act NSW 1998” or applicable regional legislation, I agree to provide a copy of this registration to Forgotten Souls Dog on receipt, I agree that I shall maintain this registration through the life of the dog I agree to get the dogs microchip put in to my name, once I have received the change of ownership form from Forgotten Souls Dog Rescue, and will supply them with proof of this change once it is completed I understand that once the adoption has been completed I release Forgotten Souls Dog Rescue and their estates from any and all liabilities and/or damages by fault of this dog after the time of adoption, these damages include, but are not limited to, destruction of property and/or physical damage to any person or group of people, in the event that the adoption occurs interstate, the point of transfer of responsibilities occurs at the delivery of the dog to transport company (i.e Airport/Courier) If payment has not been received in thirty (30) days of adoption, unless agreed between both parties otherwise, Forgotten Souls Dog Rescue are allowed to seize the dog back in to their care Forgotten Souls Dog Rescue will provide copies of the dogs vaccination, microchip, spay/neuter and heartworm test (if dog is over 6 months of age) on completion of the adoption and once the adoption fee has been paid in full I understand that Forgotten Souls Dog Rescue may reclaim the dog back if, in their opinion, any of the above conditions are not met, or the dog is being mistreated or abused, I understand that I will be liable for any fees and costs incurred by Forgotten Souls Dog Rescue out of the enforcement of this agreement, I agree that in the event that the dog is demanded back due to non-compliance with this agreement, I forfeit all rights to the dog and no compensation shall be provided The purpose of this Adoption Application Form is to ensure that both the dog and potential new family are matched for a long and rewarding life together. At Forgotten Souls Dog Rescue, we are committed to the safety and well-being of our rescued dogs. We appreciate that all situations are different and will consider all applications equally. Submission of this Adoption Application Form does not guarantee adoption of the stated dog, all applications are carefully reviewed, assessed and voted on by the Forgotten Souls Dog Rescue committee for the best interest of the dog and the future owner. This can take time due to multiple applications and a decision is provided to the applicant as soon as practicable. By submitting this application, I have considered all the aspects of responsible dog ownership including all associated vet care and associated costs and I am satisfied that I can provide a loving, forever home for this dog.Payment Terms And Conditions: Upon successful application, full payment is required prior to the picking up of dog. In special cases (e.g. pre-adoptions) a non-refundable $150 deposit is required for an dog to be placed ON HOLD. If these terms are not met, dogs will be relisted as available and applications will be terminated. Applications are valid for a period of two (2) weeks from time of approval only. In the case of an unsuccessful adoption trial, the adoption fee will be refunded, less a 15% administration fee.CommentsThis field is for validation purposes and should be left unchanged.
