Melbourne Pet Ambulance - 0413599321
Adoption Application Form
Full Name
Contact Phone Numbers
Email Address
Dog Name of Interest
Do you have any children? If yes, how many and what ages?
Have you ever owned a dog before? If yes, what breed? *
Is your property set up to accommodate a dog? Describe your fences? *
How much time can you give your dog? How long will the dog be alone for?
Do you currently own any dogs? If yes, what is the breed,sex,age and social behaviour of your dog(s)?
Why have you decided to adopt a Rescue Dog?
Will the dog be allowed inside?
Where will your new Dog sleep ?
What sex would you prefer?
What Are You Looking For In a Dog / Puppy?
Have you ever needed to take an animal to the shelter, pond or release to another person? If so please explain
Please explain who will be the main caretaker for this dog
What exercise will you provide your dog?
Are you Renting
If renting please provide your landlords details to confirm that a dog is allowed
Do you currently have a vet ? if so please provide the name and contact phone number so we can contact them for a reference
What would you do if your dog became lost ?
Is there anything you would like to add to this adoption enquiry that you would like to tell us
What would you do if your dog develops Behavioural Problems?
What will you do if this dog becomes ill or injured and requires expensive veterinary care ?
Website Builder provided by  Vistaprint