Adoption Checklist - Chance 4 Change
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dog's name
*
Proof of home ownership - e.g. Rates invoice
*
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of
Photos of current fencing
*
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of
Proof of existing dog registration
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of
Proof of multi-dog license or 3+ permit
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of
Additional requirements
Household adoption meeting (including existing dog(s)
Property inspection
Adoption contract
Desired date of trial commencement
*
-
Day
-
Month
Year
Date
Payment
*
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next
( X )
Adoption Fee
$
500.00
NZD
Payment Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Signature
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