Please note: completion of this form indicates an expression of interest only and does not guarantee adoption. *mandatory fieldName*Phone*Email Have you had a dog before?*YesNoWhat breed/s?*Do you currently have any pets?*YesNoWhat animals and how many?*Are your current pet/s registered with your local council?*YesNoHave you had any experience with this breed of dog?*YesNoHave you researched this dog breed?*YesNoHave you had any experience with dog training?*YesNoWhat type of training?* Self training Training school Socialisation Personal trainer Other What type?*Would you take your dog to obedience training?*YesNoWhat type of housing to you have?*Flat/ApartmentUnitHouseFarmDo you live in a rental property?*YesNoHave you received landlord approval for a pet?*YesNoWhat are your normal working hours and how long would the dog be left alone?*How big is your yard?*SmallCourtyardMediumLargeAcreageN/ADescribe your backyard e.g. fencing, grassed, concrete, shelter, plants, secure.*Will the dog be an indoor or outdoor dog?*IndoorOutdoorBothWhere will the dog sleep?*Where will the dog be kept when you are out?*How often will the dog be walked?*Twice dailyDailyWeeklyOtherHow often?*How long will the walks last?*Who else lives in the house or will have regular contact with the dog?Who else lives in the house?* Children Other adults Elderly Disabled Impaired N/A What age/s?*Who will have regular contact with the dog?* Children Other adults Elderly Disabled Impaired N/A What age/s?Do you travel regularly for work or holidays?*YesNoWho will look after the dog while you are away?*Are you fully aware of all the responsibilities and financial requirements regarding ownership of a dog?*YesNoIs there anything that you are aware of that would mean you will not be able to care for the animal for the rest of its life? E.g. moving/working overseas in the future*YesNoWhat arrangements would you put in place should that occur?*How did you hear about this animal?*Lort Smith websitePetRescue websiteSocial mediaWord of mouthOtherHow?*Is there anything else you would like to tell us about you, your household or lifestyle?