Domestic Adoption Application

Animal you are interested in adopting

Applicant's First Name *

Applicant's Last Name *

Street Address *

City *

State *

Apartment Number (if applicable)

Post Code *

Phone Number *

Email Address *

Alternate Phone Number

Date of Birth

Drivers License Number

What is the name of your local council? (required for Microchip registration)

How did you find out about us?

Have you applied anywhere else for a pet?

If yes, where else have you applied for a pet?

Is this pet for you or someone else?

Do you own other pets at the current time? *

If yes, please list their names, breeds, and ages.

Are all of your pets spayed/neutered/fixed? *

How many pets have you owned in the last 5-10 years?

What happened to them?

Are your pets current on their vaccinations? *

Have you ever handed a pet into a shelter or given them away? *

If yes, please explain?

Veterinarian's Name *

Veterinarian's Address, City, State, and Post Code *

Veterinarian's Phone Number

Have you ever had a pet euthanised? *

If yes, please explain:

How do you feel about having pets spayed/neutered?

Are you familiar with heartworm and heartworm prevention?

If you have pets, will they adjust to a new pet in the house? *

Were any of your pets obedience trained?

Do you plan to take formal obedience classes? *

Please check the main reason you plan to adopt a pet: *

If you answered "other" above, please explain here:

Please describe in detail the pet you are looking for. *

What activity/energy level do you prefer? *

Do you own or rent your home? *

Please select your current residence type. *

If you answered "other" above, please explain here:

How long have you lived at this address?

Please upload either rates notice for proof of home ownership, or landlord approval if you rent. *

Including yourself, how many people live in your household? *

Please list the ages & relationship of those who live in your home. *

Is everyone in your household aware that you are planning to adopt a pet?

Does anyone in your household have allergies to dogs/cats?

When you press submit, it will take you to a new page that says 'Thank you'. If you press submit and the page scrolls to a different spot in the form, there is a field you have missed. Fields with a red Asterix * are required fields. This includes the checkboxes at the bottom.

On average, how many hours per day will your pet be left alone? *

How much do you think the annual medical bills will be for your pet?

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

Will this pet be predominantly living inside, outside, or both? *

Please provide a description of this pet's living conditions. *

It is in the best interest for both wildlife and cats to be indoor only, or outside with a secure enclosure. Do you agree to this?

Do you have a completely fenced-in yard? If so, what kind of fence? *

If you answered "other" above, please explain:

Please upload photos of your yard and fences *

Another image

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If you do not have a fenced yard, how will you let the animal out?

Are there times when the animal will be tied/chained up?

If yes, when will they be tied/chained up?

Where will the animal sleep?

If you answered "other" above, please explain:

Will the animal spend any time in the garage?

If the animal will spend time in the garage, please explain when/why:

Do you have a pool?

Is there a fence around the pool?

What kind of fence do you have around your pool?

If you answered "other" above, please explain:

How will you handle housebreaking?

How will you handle destructive behavior?

Will you keep the animal up-to-date on vaccinations and heartworm preventative? *

If no, please explain:

Are you willing and able to exercise the dog on a regular basis? *

If yes, what is the method of exercise?

If you answered "other" above, please explain:

Have you ever been convicted of abuse or neglect of a child or animal?

If yes, please explain:

What arrangements will you make for the care of your pets in case of an emergency?

If you answered "other" above, please explain:

What will you do with the animal when you go on vacation?

If you answered "other" above, please explain:

For what reason(s) would you consider returning/giving up the animal? *

What would you do with your animal if you had to move? *

If you answered "other" above, please explain:

Are you willing to take responsibility for this animal for the next 10-20 years? *

If no, please explain:

Will you allow us to perform home checks?

*

I understand that completing this application does not guarantee I will be allowed to adopt a pet, and that the application is a tool to help Willow Tree Sanctuary determine if this pet 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 pet from my possession. I also certify that I have never been convicted of animal cruelty or neglect. If I am approved to adopt a pet, I agree to pay a non-refundable adoption fee (with a 2 week trial period) and sign an adoption contract at the time of adoption. I understand that all pets adopted from Willow Tree Sanctuary will be speyed/neutered, heartworm tested, and vaccinated prior to adoption.

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I understand that Willow Tree Sanctuary are the legal owners of all animals until the full adoption fee is paid and all vet work has been completed.

*

I understand that the adoption fee must be paid in full prior to the animal being sent on trial; or in the case of a foster fail, as soon as the adoption application has been received and approved.

*

I agree that the animal is being adopted for myself/family member and will not be sold, adopted, or given to another party.

*

I agree that the animal will be a companion animal and will live as part of my family.

*

I agree to care and house the animal in a humane manner. This includes providing adequate food, water, shelter, enrichment and veterinary care.

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I agree to provide all regular veterinary treatments to my animal; including yearly vaccinations, parasite control and immediate treatment of any illness or injury.

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I agree to seek professional advice from a behavioural trainer if this animal develops any serious behavioural issues.

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I agree and understand that it is a Willow Tree Sanctuary requirement that the animal is desexed prior to any adoption being finalised.

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If the animal is rehomed with another pet, I agree to carefully supervise them when they are together and will not leave them alone together until I am confident that there will be no conflict.

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I understand that the animal may need extra patience and understanding; and I agree to allow the animal a reasonable time to adjust to new surroundings.

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I agree and understand that I should have a full health check done for this animal by my own vet during the trial period to confirm the health is as stated by Willow Tree Sanctuary. If my vet identifies issues I will refer this vet report to Willow Tree Sanctuary staff and they will seek consultation and treatment (if deemed required) at their approved vets. Any treatment done during this health assessment at a non approved Willow Tree Sanctuary vet will not be covered. If I choose not to do this, Willow Tree Sanctuary will not be liable for medical expenses.

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I understand and agree that Willow Tree Sanctuary will only cover pre-approved veterinary expenses for the animal during the trial period, by a Willow Tree Sanctuary authorised Veterinarian. Willow Tree Sanctuary will not reimburse any unauthorised expenses before the adoption is finalised.

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I agree to communicate with Willow Tree Sanctuary regarding the progress and welfare of this animal if I have any issues or concerns throughout its lifetime.

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I agree that if at any point I am unable to keep this animal throughout its lifetime he/she will never be surrendered to or sold to any other person or organisation; I will return him/her to Willow Tree Sanctuary.

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I agree and understand that there will be a minimum of a two week trial period prior to any adoption; longer if deemed suitable by Willow Tree Sanctuary. During this time I shall take full responsibility for the animal and will abide by the Willow Tree Sanctuary terms and conditions.

*

I agree that if I wish to return this animal to Willow Tree Sanctuary during the trial period there will a full refund of the adoption fee minus a $50 administration fee.

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I understand that although every animal adopted has been tested for temperament & behaviour, I agree to take on trial/adopt the animal at my own risk and indemnify; and release Willow Tree Sanctuary, its management committee and volunteers, of any and all liability arising from damages to person(s) or property caused by the animal.

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I agree to keep this animal’s microchip updated and correct at all times. I also agree that Willow Tree Sanctuary remain as a second contact on the microchip details of the animal.

signature

Date *

If you were unable to sign in the box above, please upload a photo of your signature. (You could use your notes app or good old fashioned pen and paper)

When you press submit, it will take you to a new page that says 'Thank you'. If you press submit and the page scrolls to a different spot in the form, there is a field you have missed. Fields with a red Asterix * are required fields. This includes the checkboxes at the bottom.