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Dog Adoption Australia
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Foster Care Form
Your information is protected under our
privacy policy
Dog Information
Specific or non specific dog
Dog"s Name
*
Breed
*
Sex
*
Male
Female
Size
*
Small
Medium
Large
Applicant Information
*
Indicates required field
Name
*
First
Last
Name of second adult if applicable
*
First
Last
Age
*
Mobile
*
If texting us please ALWAYS insert your name in the text
Landline
*
Email
*
This will be the email address we will use to contact you. Please avoid multiple email addesses
Age
*
Mobile
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Reference #1 (previous vet preferred)
*
A solid vet reference is extremely valuable . Alternatively nominate someone who you would use if you were applying for a job.
Relationship - no family or friends
*
Contact number
*
Have or will you authorise the practice manager or vet to speak to us?
*
Yes
No
Reference #2
*
Relationship - no family or friends
*
Contact number
*
Have or will you authorise this person to speak to us?
*
Yes
No
Household Information
Type of housing
*
Appartment
Townhouse / Villa
House
Acreage
Other
Is there a dog door?
*
Yes
No
Describe your yard
*
Describe your fencing
*
Employment
*
Full time
Part time
Casual
Shift worker
Home duties
Semi retired
Retired
Other
Hours worked per week
*
Number of people in your house hold
*
Children in your house hold
*
Do children visit?
*
Is anyone home during the day?
*
Home ownership
*
Rent
Own
Employment of second adult if applicable
*
Full time1
Part time
Casual
Shift worker
Home duties
Semi retired
Retired
Other
Hours worked per week
*
If yes, ages
*
Other pets?
*
Where will the dog spend most of its' time?
*
Inside
Outside
Inside when we are home / outside when we are not
Dog can decide and has free access
Describe where the dog will sleep
*
If you have had dogs before please list the breed.
*
Do you have any other pets? Animals?
*
How would the dog get exercise?
*
Extras
If required are you prepared to collect the dog from a pound? (Dog Adoption covers pound costs)
*
Yes
No
if required are you pepared to collect the dog from the Perth Domestic Airport within 15 min of its' arrival?
*
Yes
No
Have you read and do you agree to the terms in the Veterinarian Care Form
*
Yes
No
Veterinarian Care Form
In the event you cannot continue to foster the dog do you agree to give Dog Adoption a minimum of 2 weeks notice or failing this, agree to transport the dog to the Pampered Pouch Motel and pay in advance 2 weeks kennel fees?
*
Yes
No
Do you agree to put your contact details and a collar on the dog IMMEDIATELY it is in your care?
*
Yes
No
Agreement
The information I have provided is true and correct.
I understand I am responsible for the welfare of the dog/s and my role is one of safety and care.
Failure to return the dog when requested by Dog Adoption within 48 hours will be regarded as stealing and shall result in legal action and possible prosecution.
I agree not to re-foster, on-sell, surrender to a pound or give the dog to any third party.
I also understand I am responsible and liable for the actions of the dog under the
Dog Act 1976
including excessive
barking, control and collection of droppings. (see
www.dlg.wa.gov.au
)
Although all care will be taken placing dogs, I understand Dog Adoption is not responsible or liable for any damage or ill effects caused by the dogs. (3rd party property or persons)
Breech of agreement
Adoption fees apply to foster carers who chose and are approved to adopt.
Do you agree to the
FOSTER CARER TERMS AND CONDITIONS
?
.
Do you agree?
*
Yes
No
Our T&Cs aim to provide protection for you, the dog, applicants, foster carers and the community. Every clause is there because someone has made it necessary in the past.
Submit
