ADOPTION APPLICATION
NEW SPIRIT
AUSSIE RESCUE, INC.
* means field is required
Note: If you have any trouble filling out or submitting this form, please contact us and we'll be happy to send you the form via e-mail.
First Name *
Last Name *
Phone number *
Mobile/Cell number
Street Address *
Apt #.
City *
State * *
Zip *
E-mail address *
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: *
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.
* 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 Applicable:
Spouse/Partner First Name
Spouse/Partner Last Name
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 Rescue is hereby given authority to use this information to process your application. Furthermore, you understand that New Spirit 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 Rescue harmless from and against all of the above.
New Spirit 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 RESCUE.
IF YOU LEAVE THIS PAGE BEFORE CLICKING SUBMIT, YOUR DATA WILL BE LOST.
THANK YOU FOR YOUR INTEREST IN ADOPTING THROUGH NEW SPIRIT AUSSIE RESCUE! SOMEONE WILL CONTACT YOU SOON.
Is there anything else you'd like to tell us?
When's the best time to call you? *
