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Dog Adoption Application
THANK YOU FOR CHOOSING TO ADOPT A DOG FROM OSCARS ARC
Name(s) of the Dog(s) you are interested in adopting: *
Your answer
Why do you want this particular dog? *
Your answer
Your Name & Surname (Primary adopter) *
Your answer
Date of birth: *
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Home phone:
Your answer
Mobile phone: *
Your answer
Email address *
Your answer
Residential address: *
Your answer
Postal code: *
Your answer
How would you describe your lifestyle: *
How long have you lived here? *
Your answer
Property type: *
Is a dog allowed where you live? *
If renting what is your landlord's name?
Your answer
If renting what is your landlord's phone number?
Your answer
Do you have a yard? *
If you have a yard, is it fenced securely?
If you do not have a yard, how will you provide the dog with adequate exercise?
Your answer
Your occupation: *
Your answer
Employer/ Business name:
Your answer
What other pets do you have in the home? Please provide a description for each pet including age and sex.
Your answer
Your veterinarian *
Your answer
Suburb: *
Your answer
Are there children in your home? *
If you have children in your home, please list their ages:
Your answer
Is everyone in agreement with the decision to adopt a dog? *
Alternative contact person: *
Your answer
Relationship: *
Your answer
Home phone: (of alternative contact person)
Your answer
Mobile phone: (of alternative contact person) *
Your answer
Have you ever had to surrender up a pet before? *
If yes, you have had to surrender up a pet previously - please explain the reasons and circumstances: *
Your answer
I/ we affirm that no member of my household has ever been convicted of an animal welfare law/abuse violation such as neglect, cruelty, abandonment etc. *
Required
While Oscars Arc always offers the ‘Name Your Price’ adoption fee, your generous donation of R1000 or more enables us to cover the costs of this adoption. It is also invaluable in helping us to continue marketing dog adoption as the best way to acquire a dog. The more you give. The more we save. Please specify your nominated adoption fee: *
Your answer
A representative will contact you shortly to schedule a home check. The home check will be administered within 72 hours of receiving this application. Kindly advise the preferred day of the day that best suits your family for the home check: *
Required
Kindly advise the best time that best suits your family for the home check: *
Required
Please enter your full name: *
Your answer
I, certify that all information provided on this form is true and hereby give permission to OSCARS ARC to verify information as required. *
Today's Date: *
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