Geelong Animal Rescue Adoption Application Form
Thank you for choosing to adopt from Geelong Animal Rescue - Together, we can make a difference!

We are all volunteers and will endeavour to respond to your application within 7 days.
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Name of animal that you wish to adopt: *
Please include their GAR number if you know it.
Personal
Please select an 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.
Required
Full Name *
Phone Number *
Email *
Address - suburb and post code included *
How many adults live at the premises? *
Number of children and their ages? *
Do you work? *
Required
Do you live in a: *
Required
Would you object to Geelong Animal Rescue conducting a house check? *
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.
Required
Do you have any pets of your own? *
Required
Please provide the breed, age and sex of your pet(s) or N/A *
Are all of your pets de-sexed, de-flead, de-wormed and up to date with vaccinations? *
Please tell us about your current and previous pets. *
New Pet
Are you able to financially provide for your pet's veterinary needs?   *
Vaccinations, flea treatment, worming tablets, council registration.
Would you consider further training with your pet? *
If yes, please describe.
Where will your new pet be kept during the day? *
Where will your new pet sleep at night? *
If you go away on a holiday, where will you new pet go? *
If you become ill, what will happen to your new pet? *
How many hours would your new pet be left alone during the day/night? *
Please describe the type of diet your new pet will be on and how much you would be willing to spend each week. *
If you are looking at adopting a dog, how much exercise would your new pet be provided with each week? *
Under what circumstances would you surrender your pet?   *
Family illness, barking, digging, high cost vet bills.
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? *
Required
Thank you for completing our Adoption Application Form.
Do you have any further information you would like to add or have any questions?
Please tell us how you came about Geelong Animal Rescue and the animal you wish to adopt. *
Facebook, Website, Petrescue, etc.
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