Adoption Form Loving Paws.xlsx

	A	D	E	F	G	I
1	ADOPTION APPLICATION FORM
2	ADOPTION APPLICATION FORM
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4	THANK YOU FOR OPTING TO ADOPT!
5	THANK YOU FOR OPTING TO ADOPT!
6	This application form is to ensure that you and your potential new best friend are a good match in terms of environment, activity level and temperament.
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10	PERSONAL DETAILS
11	Name & Surname
12	Identity number
13	Address
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16	Email address
17	Work telephone number
18	Cell phone number
19	Employer
20	Amount of family members in the household
21	Number of children in the household and age of children
22	Number of children in the household and age of children
23	Are you applying for a dog / Puppy / Cat / Kitten
24	Name of the animal if applicable / request for home to be pre - approved
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26	REFERENCE OF A FAMILY MEMBER OR FRIEND
27	Name & Surname
28	Email address
29	Work telephone number
30	Cell telephone number
31	Relation
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33	PLEASE COMPLETE THE FOLLOWING
34	Have you adopted before?
35	Have you ever given an animal away and if so why?
36	Is your property securely closed?
37	If you stay in a complex or estate, do you have the necessary permission to adopt the animal?
38	Do you have a pool and if so, is it secure for pets?
39	What kind of shelter is available for the pet?
40	Will this pet be chained or caged?
41	Are your current animals up to date with their vaccinations?
42	Have you had a sick animal on your property within the last 6 months and is so, what was the animal's diagnosis?
43	Purpose for adopting				Please see below
44	Guard dog / Pet
45	Working dog / Pet
46	Search % Rescue pet
47	Family pet
48	Breeding pet
49	Do you intend to keep the animal:
50	Outdoors			Indoors
51	What are the sleeping arrangements for the animal?
52	Inside the house
53	kennel
54	Garage or stoep (Specify)
55	Other (Specify)
56	Do you have an existing vet? If yes, who?
57	Yes			No
58	Vet Name
59	Will you be willing to have a rescue representative visit your home?
60	Yes			No
61
62	Do you own any other pets?
63	If so, what kind of pets, gender and ages and whether they are sterilized / castrated?
64	Type of breed		Gender	Age	Sterilized (Yes/No)	Castrated (Yes/No)
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70	Are you planning to move in the near future?
71	Yes			No
72	Vacation arrangements/kennelling
73	Who cares for your pets whilst you are away on vacation or business?
74	Registered boarding kennels			Name
75	Domestic worker
76	Family
77	Neighbours
78	Other			Specify
79	Desired animal characteristics
80	Preferred gender of animal
81	Male			Female
82	Coat preference
83	Short	Medium			Long
84	Size preference of the dog (Where applicable)
85	Small	Medium			Large
86	Breed Preference
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88
89	LEGAL STUFF – PLEASE READ
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91	This agreement serves to confirm the following.
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93	· Our animals legally belong to Loving Paws Rescue and are rehomed or adopted solely in our discretion.
94	· We have the right to refuse an adoption without giving reasons.
95	· We cannot accept responsibly for the temperament or behaviour of the animal.
96	· Should any information on this form be found to be false and/or incorrect and/or not complied with, Loving Paws Rescue has the right to investigate and reclaim / remove the animal without notice.
97	· This animal should always be treated in a loving and kind manner, it is expected that you will provide this animal with access to adequate shelter, food and water and any medical treatment it may require as well as to see to its emotional well-being at your own expense.
98	· No animal adopted from Loving Paws Rescue may be used as a performance animal / security animal for any reason whatsoever.
99	· Neither Loving Paws Rescue, nor its employees, volunteers, directors, affiliates or members can be held liable for any loss of property, damage or injury as a result of adopting this animal.
100	· Unfortunately, in most instances we have no idea where our puppies / kittens and /or dogs / cats come from as most of them are dumped or found as strays.