Website Adoption Application

Name of Dog or Pup you are Applying for*

FULL NAME*

HOME PHONE NO.*

MOBILE/PHONE NO.*

PHYSICAL ADDRESS*

HOUSE NUMBER / STREET NAME

TOWN/CITY/POST CODE

Country

DATE OF BIRTH *

EMAIL*

On signing the adoption agreement you will be required to present Photo Identification (I.D) to be sighted by an All Paws Rescue NZ representative should your application be approved.

I.D Type (Passport/License)*

I.D Number*

Do you own your own home?*

YesNo

If you are in rental accommodation, please provide Landlords contact details.*

Do you have Children*

YesNo

If you answered Yes, please provide each childs age*

Do you have other Pets*

YesNo

How many animals live on your property?*

Please describe species and age of animals currently living on your property*

Are they all fine with other animals?*

YesNo

Any details you wish to provide.

Is your property fully fenced?*

YesNo

Please provide fencing details, height and materials used.*

Do you work away from home?*

Full timePart timeWork From HomeNo

If you do work away from home part or full time, where will the dog be kept while you are at work and how many hours per day will they be home alone?*

Adoption Requirements:

All dogs will be De-Sexed, Micro-chpped and Vaccinated (1st vaccination minium) upon adoption if not prior. This cost is included in All Paws Rescue NZ adoption fees.

Registration:

It is required by law for all dogs over 3 months of age be registered by the local council.

Adoption Fee:

An adoption fee of $350 per dog or pup applies to help towards the costs incured by charity which includes, de-sexing, microchipping, vaccinating and registering our rescue dogs.

Agreement:

I understand, that I must meet the dog/pup I am applying for before my application to adopt is accepted.

I understand, that further information is needed and this will be given once my application to adopt is submitted before it is accepted.

I certify that all the information provided on this form is true.

I give permission to All Paws Rescue NZ to verify information as needed. I understand that a property check is mandatory prior to adopting a pet. Any false statement will terminate potential adoption.

I AGREE*

Adopters Signature*

Date of Application*

Adoption Application

APPLICANT DETAILS