Adpotion Application Form

Ready to add a furry, fluffy or scaley friend to your family?

How exciting! Express your interest in them by filling out this form.

First name

Last name

Phone Number

Date Of Birth

Month

Day

Year

Physical Address where the animal will be kept

Who owns your home?

Please tell us about the people who live in your home, be sure to include their ages.

Do you know who you would like to adopt?

Yes

Who will be responsible for caring for your new pet? Select as many as relevant.

Myself

Family will help

I have a support worker

Other

Are there any other animals living in your home?

Yes

T's and C's

I meet the following adopter requirements...

I am a permanent resident of Australia.

I am willing to meet the animal in person before adopting.

I have landlord approval if renting my home.

I have council approval to adopt an animal if taking on the animal would exceed allowed limits.

I am in a reasonably stable financial situation.

I am in a reasonably stable home situation.

I am in reasonable health or have support at home to help look after the animal.

I am able to afford medical care for the animal.

By submitting this form you understand that this is an application only and does not guarantee that any animal will be adopted by me. I understand that should my circumstances change that I need to submit a new application.