Poet's Vision Aussie Rescue Adoption Application
Your name: Please include your first and last name
Name of dog applying to adopt:
Why did you choose this dog?
Are you currently employed?
Full time or part time?
Name of 3 references ( not a relative) and phone numbers
Please indicate the number of people living in this home
how many adults,
how many children 6-18
how many children under six
Do you live in a
Do you own or rent your place of residence?
If renting do you have permission from your landlord to keep a dog
Landlords name and phone number
What type of setting do you live in?
Do you have other pets at this current time
How many and what kinds?
Are your current pets spayed/ neutered
Are your current pets up to date on all thier shots?
Veterinarian Name and phone number. Please make sure you call your vet and give them permission to speak with a Poet's Vision representative. Please note if you do not currently have a veterinarian please provide the name of the veterinarian office you intend on using
If adopted would the dog be an
Do you have a fully fenced in yard and how high is the fencing?
What is the maximum amount of time your dog would spend alone during the day?
only occasionally as there is generally someone home
12 + hrs
If you are applying to adopt a dog under 1 year of age and are gone for extended periods of time ( more than 5 hours) during the day, what provisions do you have in place in order to ensure the puppy is let out to the bathroom during the day and provided with exercise?
will come home during the day to let pup out
Are you familiar and willing to crate train?
yes am familiar and willing to crate train
no, am not familiar with crate training
no, we do not use crates
Where would the dog spend the majority of the day?
crated in house
indoor kennel/ run
loose in house
a friends/ relatives?
Where would the dog spend the night?
crated in house
inside kennel/ run
loose in house
What is your reason for wanting to adopt a dog?
How do you plan on exercising the dog and how often?
Are you prepared to take your new dog to obedience classes ?
Although we try hard to match a dog to the right home sometimes issues arise and the dog needs to be returned to the rescue. Please check the reasons you would return your dog back to the rescue
if my work schedule changes and I no longer have time to meet the dogs needs.
if I have children in the future and no longer have sufficient time for the dog
if I become ill and can no longer physically take care of the dog
If I lose my job and cannot financially care for the dog
if I divorce or separate
if the dog sheds
if the dog is not housebroken
if the dog becomes aggressive
I would not return my dog and work through any issues that arose
Have you ever previously applied to adopt a dog
If yes where from?
Was your adoption approved?
Have you ever given away a previously owned pet?
If yes, please explain why
Do you have any experience with deaf and/ or visually impaired dogs? If yes please explain
How did you find out about Poet's Vision Aussie Rescue?
Are you aware of the “Running at Large by-law” that is in effect for dogs in most major cities?
Do you agree to a home visit from a Poet's Vision representative?