Expression of Interest Form

Adoption Application Form
Date

MonthDayYear
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Name of ATS Babe you are interested in
Why are you interested in adopting?
Do you have other pets?
If Yes, please list current pets
Are your current pets desexed?
Are your current pets vaccinated?
Where do your current pets sleep?
Your Age Group?
Number of Adults Living in house
Number of Children Living in house
Residential Status
Type of Residence?
Are you a permanent resident of Australia?

YesNo
Are you planning a trip or holiday in the short term?

YesNo
Do you travel a lot?

YesNo
Does any member of your household have animal related allergies?

YesNo
Do you have a secure yard?
Describe your fence (height, type of fence, status)
Do you allow animals inside your home?
For Cats: Will you agree to have the cat/kitten inside only (outside supervised)
Have you ever had to rehome or surrender an animal?
If Yes, please explain why
Please describe your work schedule?
Should be Empty:

Adoption Application Form