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Adoption Application Form

Animal Information

GAR Animal Number you Wish to Adopt
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Field is required!
Name of Animal you Wish to Adopt
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Field is required!

Personal Information

Please select age bracket for the person filling out this form
If you are under 18, please ask a parent or guardian to fill out the form for you.
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Field is required!

You must be over 18 years of age to adopt from GAR, please ask a parent or guardian to fill out the form for you.

First Name
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Last Name
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Phone Number
Invalid phonenumber!
Invalid phonenumber!
Email
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Address
Full address including suburb and postcode
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Adults
How many adults live at the premises?
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Children
How many children and their ages?
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Field is required!
Do you work?
Current work status
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Field is required!
Do you live in a:
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Field is required!
Would you object to Geelong Animal Rescue conducting a house check?
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Field is required!
Do you own or rent your residence?
If you are renting you will need permission from your landlord to adopt an animal from Geelong Animal Rescue
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Field is required!
Do you have Landlord permission to adopt an animal?
You will need permission from your landlord to adopt an animal from Geelong Animal Rescue
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Field is required!
Do you have any pets of your own?
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Field is required!
Please provide the breeds of your pets:
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Please provide the ages of your pets
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Field is required!
Please provide the sexes of your pets:
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Are all of your pets desexed?
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Are your pets up to date with vaccinations?
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Are your pets up to date with treatments?
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Field is required!
Please tell us about your previous pets:
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Field is required!

New Pet

Are you able to financially provide for your pet's veterinary needs?
Vaccinations, flea & worming treatments, council registration.
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Field is required!
Would you consider further training with your pet?
If yes, please describe:
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Field is required!
Where will your new pet be kept during the day?
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Field is required!
Where will your new pet sleep at night?
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Field is required!
If you go away on holiday, where will your new pet go?
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Field is required!
If you become ill, what will happen to your new pet?
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Field is required!
How many hours would your new pet be left alone during day?
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Field is required!
How many hours would your new pet be left alone at night?
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Field is required!
Please describe the type of diet your new pet will be on:
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Field is required!
How much would you be willing to spend each week on food for your pet?
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Field is required!
If you are looking at adopting a dog, how much exercise would your new pet be provided with each week?
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Field is required!
Under what circumstances would you surrender your pet?
Family illness, barking, digging, high cost vet bills.
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Field is required!
Should your circumstances change and you are unable to care for your new pet any longer, would you be willing to surrender the animal back to Geelong Animal Rescue?
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Field is required!
Do you have any further information you would like to add, or do you have any questions?
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Field is required!
Please tell us how you heard about Geelong Animal Rescue:
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Thank you for completing our Adoption Application form

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