Dog/Puppy

Adoption Enquiry Form

AWL NSW Rehoming Organisation Number: R251000222

Please note: We are located in the Shoalhaven NSW and do not currently offer interstate adoptions or animal transport.

Perspective Pet Parent*

First Name Last Name

Name of Pet You Wish to Adopt or description if general enquiry ie dog small breed*

Age group (please note you must be over 18 to adopt)*

18-25 25-50 50-75 75 or over

Email Address*

Phone Number*

Area Code Phone Number

Address*

Street Address

Street Address Line 2

City State

Postcode

Do you own any existing pets? Please list type age and breed for dogs and cats.

Please explain temperament of existing pets towards other dogs or cats if applicable.

Please provide your veterinarian's name and phone number:

Do you own or rent your home?*

Own Rent

If you rent do you have permission for an animal? (A copy of landlord permission is required prior to adoption)*

Yes No I have applied and am waiting on approval Not applicable

Do you have a fully fenced area for the dog?*

Yes

Yard size*

Small Medium Large Acreage

Have you ever surrendered or rehomed a pet?*

Yes No

If yes please describe the circumstances

Who else lives in the home? (please list ages of any children)*

Please feel free to share any other information that may assist us in assessing your application.

By clicking the submit button, I understand that as part of the adoption process AWL NSW Shoalhaven Branch may conduct a home and yard check if applicable.
By clicking the submit button, I understand AWL NSW may check my veterinary references..
By clicking the submit button, I understand there is an adoption fee associated with adoption of a pet from AWL NSW.
By clicking the submit button, I verify all of the above information is true and accurate.

We receive many applications for each animal that comes into our care so whilst we endevour to respond to all enqiries as quickly as possible we appreciate your patience

Signature of Applicant*