Application Form
If you are wanting to adopt one of our animals, please fill in this form.
Adopt Me Inc.
Animal Name: *
Your answer
Full name: *
Your answer
Address: *
Your answer
Phone number: *
Your answer
Email address:
Your answer
How many people live in your household, and what are their ages? *
Your answer
What lifestyle do you offer for the adopted dog/cat? *
Your answer
Tell us about your previous/current pets: *
Your answer
Are your current pets desexed? If not, why? *
Your answer
How many hours a day will your new cat/dog be alone? *
Your answer
If you become ill or go on holidays, have you got someone to care for your pet? *
Your answer
Do you rent or own your current home? *
Your answer
If renting, can you provide written proof that you are allowed pets upon meet and greet?
Your answer
Have you ever taken an animal you have owned to a shelter or surrendered to a rescue? If yes, what reason? *
Your answer
Are you aware of your local council laws owning multiple animals, and familiar with permit fees? *
Your answer
Are you willing to travel to Geelong and surrounds to meet the animal?
Your answer
If your circumstances change, or you are unable to care for your adopted animal, do you agree to surrender back to Adopt Me Inc? *
Your answer
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