Adoption Application Form

Adoption Application Form

Seniors and Silky Rescue Inc - SSRdogs Rescue and Adoption
If I have not heard back in 48hrs, my application has not been successful.*

Agree
We will no longer be accepting applications made on behalf of somebody else.*

Understood
Date

DayMonthYear
Date
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Phone Number(s)*
DOGS FOR ADOPTION*

NancyMavisBettyChewieRuthFifiExpression of Interest
Expression of Interest - Name of dog currently in rehab
I Have Read The Pet's Profile In Full*

NoYES and for long distance adoption, I have noted the location and understand I need to travel to the dog.
Other Pets In The Home*
Include species, size and breed. Are these pets desexed?
Family Veterinarian*
Children In The Home Or Visiting*
Amount Of Time Your Pet May Be Alone*
Do You Have A Pet Door Installed?*
Daytime Plans. Include Where Your Pet Will Be When You Are Out.*
Night-time Plans. Include Where Your Pet Will Be When You Are Out.*
Socialisation And Training Plans*
Renters And Body Corporate*
Where Do You Plan For Your New Pet To Sleep?*
Diet And Healthcare Plans*
Prefer High, Medium or Low Grooming Needs*
Prefer High, Medium or Low Energy Pets*
Time Available For Walks And Socialising*
Do You Plan To Use Off Leash Areas?*
Fences, Gates And Boundaries Secure And Lockable*
Is There Access Under The House?*
Is There A Pool Or Dam On The Property?*
Have You Planned For Holidays?*
Your Space To Provide Extra Information. Would You Like To Tell Us About Your Other Dogs?*
I'll remember to check my spam folder for a reply.*
Final Checks*

* I agree to a pre-adoption home visit/yard check* I have read the pet's profile in full*** I understand that providing false information deems this application invalid. --- Failure to check this box may result in no response to your application
Should be Empty: