Name
*
First Name
Last Name
Age
*
Phone
*
(###)
###
####
Email
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Is this where the pet will live?
*
Please Select
Yes
No
If no, where will this pet live?
Are you adopting the pet for yourself?
*
Please Select
Yes
No
Are you a permanent Australian Resident?
*
Please Select
Yes
No
Unsure
Tells us why you would like to adopt from Squishies Animal Rescue
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Which dog are you interested in adopting?
What questions do you have about this dog?
Describe your dog's ideal personality
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Are there any 'deal breakers' that would prevent you from caring for your dog? If yes, please describe.
*
Are your current pets desexed and up to date with vaccinations?
*
Please Select
Yes
No
Not sure/Not applicable
Describe how your animals get along with other animals
Have you ever given away or re-homed a previous pet?
*
Please Select
Yes
No
If yes, can you please provide a brief description on the situation that occurred?
Describe the daily care you are able to offer a dog
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Where will your dog be sleeping at night?
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Would you be happy with a dog that may be a messy eater, or has specific dietary requirements?
*
Please Select
Yes
No
Would you be happy with a dog that sometimes requires professional grooming?
*
Please Select
Yes
No
Would you be happy with a dog that makes nasal noises? (ie snoring/snorting)
*
Please Select
Yes
No
Are all other members of the household in agreement with adding a dog/puppy to the family?
*
Please Select
Yes
No
Is anyone in the household allergic to any kind of animals?
*
Please Select
Yes
No
Who will be responsible for the day-to-day care of the pet?
*
Are there any children living at or frequently visiting your home?
*
Please Select
Yes
No
If so, how many, and what are their ages?
Do you own or rent your home?
*
Please Select
Own
Rent
If renting, do you currently have approval to house a pet?
Please Select
Yes
No
What kind of house do you you live in?
*
Please Select
House
Unit
Apartment
Rural
Other
If other, please provide further information
What kind of yard/fencing do you have at your home?
*
Are you ready to adopt now and can you take your new pet home within three days of a successful meet?
*
Please Select
Yes
No
Please tick what you are able to financially provide for your pet
What is your plan should your pet require emergency care or expensive treatment?
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This is your time to shine! What else would you like to share with us about you, your home, your family and the kind of life you can provide for a dog.
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Do you currently have pending applications for other dogs?
Please Select
Yes
No
If you adopt through Squishies, would you be willing to provide the occasional update on the dog's progress and how they are adapting to their life with you?
*
Please Select
Yes
No
Are you happy to provide references (vet/landlord etc) if requested?
*
Please Select
Yes
No
If your application for this pet is unsuccessful, would you like to be considered for other similar pets?
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No
Yes
By submitting this questionnaire, you agree that all information you have provided is correct. You understand that providing untruthful answers can result in your application being rejected. You agree to allow us to contact the referees/references you provide, if requested. You understand that in some instances a property check will be required. Squishies Flat Faced Animal Rescue Inc. reserves the right to refuse any application.
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