Ellie's Canine Rescue & Rehome: Dog Pre-Adoption Application

Adoption Fee $300 adults and $350 pups (covers desexing, vaccinations, microchip, flea and worm treatment, council registration and vet bills).

Fees are payable via internet banking or cash and must be paid in advance of transport for out of area adopters.

Sumitting this application does not mean you are commiting to a dog, nor does it guarantee you will get that dog. It is simply a tool we use to help both you and us identify a good potential match for your family and lifestyle.

All Ellie's Canine Rescue & Rehome dogs are indoor dogs, this means they must be part of your family and sleep inside at night. They must never be chained up.

A successful adoption depends on selecting the right dog for your household and a good understanding of the dog's needs and care requirements. Please help us with this process by answering the following questions fully & completely and HONESTLY. Unless the dog is a non jumper fencing must be a miniimum of 5 feet and you MUST own your own home.

THANK YOU!

Name of the dog(s) you want to adopt *

Adopter's Name *

First & Last Name

Address *

Street Address
Street Address Line 2
Suburb	City
Postcode	Country

Adopter's E-mail *

Cell phone and or home *

Number of children and ages in house *

Have you ever owned a dog before?

Yes, we have dog(s) currently Yes, but none currently No, never

Do you currently have any pets? *

Yes No

If you currently have pets, please list them below.

Are your current pets neutered?

Yes No

Are you familiar with dog regulations in your area? *

Yes No

I/We live in a *

Family Home lifestyle Block / Farm Apartment

Do you rent or own this property? *

Rent Own

Renters, have you contacted your landlord to find out if you are allowed a dog and if so is there's any restrictions on the kind or size of dog you can have? *

Yes No Not yet, but I will

Your landlords full name:

Your landlords phone number:

Do you have a yard? *

Yard, fully fenced and secure for dog now Yard, fencing needs work to be secure for dog Yard, no fence No yard (apartment)

How high is your fencing and what is it made of? *

Do you work from home or will someone be home during the day? Explain how many hours the dog will be left alone each day. *

How much do you feel you can reasonably afford and would be willing to spend on your dog per year (for things like veterinary care, registration, ID tag, food, toys, crate, other supplies, training, pet sitting, etc)? *

What activity/energy level do you prefer? *

Wild and crazy is cool Leash trained daily jogging partner would be excellent Medium energy, plays a bit then hangs out with you Low energy, walks slowly on leash, a total couch potato

What would you do if you discovered after adoption (at any time during the life of the dog) if your vet diagnosed an expensive health condition? *

Have you ever had to give up a dog, if so why? *

Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a dog? The more we know about you the better we know if the dog would be a good fit for your family *

I understand that completing this application does not guarantee I will be allowed to adopt a dog, and that the application is a tool to help Ellie's Canine Rescue & Rehome determine if this dog and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or removal of the adopted dog from my possession. I also certify that I have never been convicted of animal cruelty or neglect.

I agree to allow a representative from Ellie's Canine Rescue & Rehome to coming for home visit prior to adopting this dog. If I am approved to adopt a dog, I agree to pay a non-refundable adoption fee and hand sign an adoption contract at the time of adoption.

I understand that all dogs adopted from Ellie's Canine Rescue & Rehome will be desexed, microchipped, vaccinated, flea and worm treated prior to adoption.

I agree that any dog I adopt from Ellie's Canine Rescue & Rehome is a member of our family, will never be chained up and will sleep inside our home at night. If we do not abide by this the dog will be reclaimed by a representative of Ellie's Canine Rescue & Rehome.

Please read the above, check this box, sign, and click Submit. *

I/We have read and understand all of the above.

Applicant's Signature *

Please email photos of your fencing to elliesk9rescue@gmail.com within 2 days of submitting the form.

Ellie's K9 Rescue and rehome reserves the right to reject any application based on information obtained during this screening process. Please understand that our primary goal is the health, happiness, and safety of our rescued dogs.