Dog Adoption Application Form

Dog/Puppy

Adoption Enquiry Form

AWL NSW Rehoming Organisation Number: R251000222

Please note: We are located in the Shoalhaven NSW and do not currently offer interstate adoptions or animal transport.

Perspective Pet Parent*

First NameLast Name

Name of Pet You Wish to Adopt or description if general enquiry ie dog small breed *

Age group (please note you must be over 18 to adopt)*

18-2525-5050-7575 or over

Email Address*

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState

Postcode

Do you own any existing pets? Please list type age and breed for dogs and cats.

Please explain temperament of existing pets towards other dogs or cats if applicable.

Please provide your veterinarian's name and phone number:

Do you own or rent your home?*

OwnRent

If you rent do you have permission for an animal? (A copy of landlord permission is required prior to adoption)*

YesNoI have applied and am waiting on approvalNot applicable

Do you have a fully fenced area for the dog?*

YesOther

Yard size*

SmallMediumLargeAcreage

Have you ever surrendered or rehomed a pet?*

YesNo

If yes please describe the circumstances

Who else lives in the home? (please list ages of any children)*

Please feel free to share any other information that may assist us in assessing your application.

Do you have any questions that you would like to ask about this animal or the adoption process.

By clicking the submit button, I understand that as part of the adoption process AWL NSW Shoalhaven Branch may conduct a home and yard check if applicable.
By clicking the submit button, I understand AWL NSW may check my veterinary references..
By clicking the submit button, I understand there is an adoption fee associated with adoption of a pet from AWL NSW.
By clicking the submit button, I verify all of the above information is true and accurate.

We receive many applications for each animal that comes into our care so whilst we endevour to respond to all enqiries as quickly as possible we appreciate your patience

Signature of Applicant*