ADOPTION APPLICATION
NEW SPIRIT 4
AUSSIE RESCUE, INC.
* means field is required
Note: If you have any trouble filling out or submitting this form, please check your web browser. Google Chrome does not work with this form!
First Name *
Last Name *
Phone number  *
Mobile/Cell number 
Street Address  *
Apt #.
City  *
State *   *
Zip *
E-mail address *
If Applicable:
Spouse/Partner First Name
Spouse/Partner Last Name
How long have you lived at your current address? *
Do you anticipate moving in the next year? *
How long have you worked in your current job? *
Are you interested in a particular dog on our website?  If so, which one?

Please note that there may be other applications on the dog you are
interested in.  It is not first come, first served:  it's the home that best
suits the dog.  Therefore, all applications will be considered.
Please list the ages of any children living with you or with whom the dog would come into regular contact.
How did you find out about this dog?  (PetFinder, Face Book, etc)
Vet's Name * (If none, explain below)
Vet's Phone # *
Names, ages, and type of all current pets (cat, dog, turtle etc)
(Use this space to explain if you have no vet or current pets if applicable.)
Are all current pets spayed or neutered? *
If no, please explain:
References
Please provide two non-family members who know you as a pet owner
Reference 1
First Name  *
Last Name *
Phone # *
E--Mail (if known)
Reference 2
First Name  *
Last Name *
Phone # *
E--Mail (if known)
Have you owned an Aussie before? *
Have your ever had to give up a pet?  *
If yes, please explain.
Do you have cats? *
Do you rent or own?  *
If you're renting, do you have your landlord's permission to have a dog? 
Do you have a completely fenced area for a dog?  *
How do you plan to exercise the dog? *
How many hours will the dog be left alone each day? *
Where will the dog spend time when you're not at home?  *
Where will the dog spend nights?  *
Do you live in a: *
Are there regular visitors to the home that the dog will need to get along with?  *
Describe your ideal dog:  *
*  If yes, please provide landlord's contact info (name and phone number) at the end of the application.
For renters, please provide your landlord's name and phone number.
If yes, please describe:
Please indicate any behaviors below that would force you to return a dog:
Check all that apply.
By submitting this application, you certify that all  the above information is true and correct and that you are over 18 years old. New Spirit 4 Aussie Rescue is hereby given authority to use this information to process your application.   Furthermore, you understand that New Spirit 4 Aussie Rescue assumes no liability for the temperament or health of any dog placed in your home, nor do they assume any liability for damages caused by the dog or responsibility for any  expenses arising from such damages. You agree to indemnify and hold New Spirit 4 Aussie Rescue harmless from and against all of the above.

New Spirit 4 Aussie Rescue, Inc.
www.newspirit4aussierescue.org
WHEN YOU HAVE COMPLETED YOUR APPLICATION, CLICK  THE SUBMIT BUTTON BELOW AND THE DATA WILL BE SAVED AND TRANSMITTED TO NEW SPIRIT 4 AUSSIE RESCUE.
IF YOU LEAVE THIS PAGE BEFORE CLICKING  SUBMIT, YOUR DATA WILL BE LOST.
THANK YOU FOR YOUR INTEREST IN ADOPTING THROUGH NEW SPIRIT 4 AUSSIE RESCUE! 
SOMEONE WILL CONTACT YOU SOON; HOWEVER, INITIAL CONTACT IN RESPONSE TO YOUR APP MAY BE IN THE FORM OF AN EMAIL SO PLEASE KEEP CHECKING YOUR INBOX FOR A RESPONSE.
Is there anything else you'd like to tell us?
When's the best time to call you? *
YesNo
YesNo
YesNo
YesNo
RentOwn
Yes *No
YesNo
Crate
Loose
Basement
Other.  Please explain:
  House
  Apartment
  Other.  Please describe:
YesNo
Too protective (guarding people, food, and things)
Shyness (won't interact with visitors or strangers)
Housetraining issues
Excessive barking
Storm phobia
Not traveling well in a car
Not coming when called by name
Separation anxiety (damaging possessions when left alone)
Other:
Morning
Afternoon
Evening
Weekend