Adoption Application 123456789 Welcome to the Unique Adoptions Online Adoption Application I want to adopt a(Required) Cat Dog We are extremely happy that you are looking at adding a pet to your family! Thank you for considering to do this through us. We privildged to help you with this very important process. Our application is designed for us to help establish your needs and wants in order to help guide and manage the perfect matchmaking for you, especially when you are not sure. Please note that Unique Adoptions is not a physical shelter, but rather a networking platform where we assist Animal Inspectors, Field Officers and Shelters all over the country to rehome their pets responsibly and with care. Once you apply through the application form, you will be contacted for a home inspection after which we can arrange for you to meet the pet and future life companion. It looks like you are considering adding a cat or kitten to your family, how exciting! We are delighted to help you with this very important matchmaking process. The below application doubles as a matchmaking quiz, which has been especially designed to help us match you with a cat who is compatible with your lifestyle. Before you proceed with the online application, we encourage you to review our adoption procedure so you understand the process and know what to expect.Inspector/areaThis field is hidden when viewing the formInspector email This field is hidden when viewing the formInspector contact number I understand that in order to qualify to adopt from the Unique Adoptions Family Group, all my existing and future pets must be sterilised(Required) I understand that in order to qualify to adopt from the Unique Adoptions Family Group, all my existing and future pets must be sterilised(Required)I understand that any form of abuse, neglect, suffering towards any of my animals is a criminal offence(Required) I understand that any form of abuse, neglect, suffering towards any of my animals is a criminal offence(Required)I understand that if I have been accused of any ill treatment towards an animal in the past, that I need to declare this upfront with the Inspector/Organisation whom I want to adopt from.(Required) I understand that if I have been accused of any ill treatment towards an animal in the past, that I need to declare this upfront with the Inspector/Organisation whom I want to adopt from.(Required)I am a minor, therefore my guardian will explain everything to me, approve and/or sign on my behalf I am a minor, therefore my guardian will explain everything to me, approve and/or sign on my behalfI am voluntarily agreeing to a home inspection to be done as part of the adoption process requirements(Required) I am voluntarily agreeing to a home inspection to be done as part of the adoption process requirements(Required)I am over 21 years old and I am willing provide proof of identification I am over 21 years old and I am willing provide proof of identificationI am willing to provide proof of address(Required) I am willing to provide proof of address(Required)I am willing to sign and honour the adoption agreement(Required) I am willing to sign and honour the adoption agreement(Required)I understand that Unique Adoptions is not an actual shelter and our representatives do not always get to physically meet the pets who are being rehomed. We rely on information provided to us by the rehoming family,(Required) I understand that Unique Adoptions is not an actual shelter and our representatives do not always get to physically meet the pets who are being rehomed. We rely on information provided to us by the rehoming family,(Required) Name and surname(Required) First Last Contact number(Required)Contact number (Alternative)Email(Required) Address(Required) Street Address Address Line 2 City Province Postal code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands DogsWhy do you want to adopt a dog?(Required)What kind of relationship have you had with your past dogs and what kind of relationship are you looking for with the new doggo you are hoping to adopt?(Required)Are you in the process of applying to adopt a dog from another shelter?(Required) Yes No Which Shelter(Required)Which dog(s) on the Unique Adoptions are you applying for?(Required)If you are not sure, please indicate that you would like us to match you with a suitable dog. CatsWhy do you want to adopt a cat?(Required)What kind of relationship have you had with your past/ current cats and what kind of relationship are you looking for with the new cat / kitten you are hoping to adopt?(Required)Are you in the process of applying to adopt a cat / kitten from another shelter?(Required) Yes No Which Shelter(Required)Which cat(s) on the Unique Adoptions Network are you applying for?(Required)If you are not sure, please indicate that you would like us to match you with a suitable cat. About You and Your FamilyPlease list the names and ID numbers of all adults who form part of the household: (please include yourself)(Required)Name and surnameID NumberContact NumberRelationship to applicant Add RemovePlease list any kids and their ages who form part of your home and family:Child nameChild age Add RemoveWould your doggo ever have access to other kids?(Required) Yes No Would your cat ever have access to other kids?(Required) Yes No What ages are they?(Required) Add RemoveDoes any member of your family have any allergies to pets?(Required) Yes No Who is your employer?(Required)Occupation(Required)Marital status:(Required) Married Divorced Single Living with Someone Other About Your Home and RoutineWhich of these best describe your lifestyle:(Required) Work from home Work normal office hours (away from home) Work flexi hours Retired Full time Student Other Which of these would best describe your living environment:(Required)(Required) Free standing house Apartment Garden cottage Simplex (in an estate / complex) Other Is your home:(Required) Owned Rented Do you have permission from your landlord to have a pet on the property?(Required) Yes No Garden size (m2):(Required)How long have you been in your current home:(Required)How long were you in your previous home:(Required)Is there generally somebody home during the day?(Required)How many hours each day will be the doggo be without human companionship?(Required)How many hours each day will be the cat / kitten be without human companionship?(Required)Are you aware of any dog / cat poisoning incidents within your area?*(Required)Do you have a pool / pond at home?(Required) Yes, open Yes, fenced in Yes, covered No pool / pond How would you describe your walls / perimeter as:(Required)(Can select more than one option) My property is fully walled right round I have electric fencing My walls / fence is at least 1.8M high My walls are low in some areas Can your doggo’s be seen from the street?(Required) Yes No Do your doggo’s have access to the driveway / entrance to your property?(Required) Yes No About your PetsHow would you best describe your dog experience:(Required)(Can select more than one option) First time dog owner Have had one or two dogs before Have had many dogs I have attended dog training classes I volunteer / have volunteered at a dog shelter How would you best describe your cat experience(Required)(Can select more than one option) First time cat owner Have had one or two cats before Have had many cats I volunteer / have volunteered at a cat shelter What kind of training methods are you familiar / comfortable with(Required)In terms of pets, which of these best describe your family:(Can select more than one option) I don’t have any other dogs/cats I have other dogs I have cats I have livestock (chickens, rabbits, birds etc) Your current fur-family (DOGS)(Required)DogsNameBreedGenderSterilised: (Y/N)How long have you had this pet?How you did you acquire this pet?Is this pet’s vaccinations up to date?Date of last vaccination:How does this pet generally get along with strange dogs?Has this pet been to puppy socialising or basic obedience training? Add RemoveYour current fur-family (CATS)(Required)CatsNameBreedGenderSterilised: (Y/N)How long have you had this pet?How you did you acquire this pet?Is this pet’s vaccinations up to date?Date of last vaccination: Add RemoveYour Fur-family in the last 5 years (Those who are no longer with you)Please complete the below section for each of your pets from the last 5 years:NameDog / CatBreedGenderWas this pet Sterilised: (Y/N)How long did you have this pet?Reason the pet is no longer with you Add RemoveHave you ever bred with any of your current / previous dogs/cats?(Required) Yes No Please provide details(Required)Have you ever handed your pet in at a shelter for rehoming(Required) Yes No Please provide details(Required)Have any of your pets gone missing before?(Required) Yes No Please provide details(Required)Have you ever had a dog on your property who had PARVO or DISTEMPER?(Required) Yes No Please provide details(Required)What type and brand of food do your feed your dogs/cats?(Required)For feeding, do you:(Required) Leave food out all day / Use a feeder Have set feeding times The dogs/cats your are hoping to adoptWhat are you looking for in the pet you are hoping to adopt:(Required)(Can select more than one option) Must be able to go to off lead dog parks Cat friendly A doggo who can go everywhere with me A doggo who already has some basic training A running partner A high energy doggo An easy going doggo who doesn’t mind a slow paced life A doggo who loves cuddles An independent doggo What are you looking for in the pet you are hoping to adopt:(Required)(Can select more than one option) Kitten Juvenile Adult Senior Special Needs No preference My overall preference would be:Age group:(Required)(Can select more than one option) Puppy Young adult Adult Senior Special Needs No preference Age group(Required)(Can select more than one option) An easy going cat who doesn’t mind a slow paced life A cat who loves cuddles An independent cat Gender(Required)(Can select more than one option) Male Female No preference Size(Required)(Can select more than one option) Tiny Small Medium Large Giant No preference Coat type(Required)(Can select more than one option) Short Medium Long No preference Any breed preference:(Required)Which breeds would you prefer to NOT adopt?My dog/cat would be:(Required)(Can select more than one option) Outside only Inside only / Inside most of the time Outside during the day but sleeps indoors at night Allowed inside the house but sleeps outside at night Access to inside and outside at all times Where will your dog/cat spend most of their time during the day?(Required)Where will your dog/cat sleep at night?(Required)If you do go away for a few days / on holiday, who takes care of the dogs/cats?(Required)What provision will your make / have you made for your dogs/cats should you become unable to take care of her(Required)Is there anything else you want us to know / consider for our matchmaking process(Required) References:Please provide us with contact details in order to obtain referencesAbout your Current Vet(Required)Name of PracticeContact numberSuburb Add RemoveDog Trainer / Behaviourist (if applicable)NameContact number Add RemoveCharacter References (please list at least 3)NameEmailContact numberRelationship Add RemoveWhen your new doggo comes home, do you agree to the following:(Required) I am willing to take responsibility for my doggo for their entire life I am willing to put in the time and effort to house train my doggo (if he / she is not already) I will allow my new doggo enough time to settle and find their feet I will reach out for help with behaviour or settling in issues, if and when needed I will keep my doggo’s vaccinations up to date I will keep up with my doggo’s deworming I will feed my doggo a good quality food I will provide my dog with veterinary care as and when needed I will keep my doggo safe by keeping him/her inside at night I will take my doggo with me if I move house (and inform Unique Adoptions of the new contact info) I will take my doggo with me if I immigrate (and inform Unique Adoptions of the new contact info) Should I become unable to care for my doggo, he/she has to be returned to Unique Adoptions When your new cat / kitten comes home, do you agree to the following:(Required) I am willing to take responsibility for my cat for their entire life I am willing to put in the time and effort to litter box train my cat (if he / she is not already) I will allow my new cat enough time to settle and find their feet I will reach out for help with behaviour or settling in issues, if and when needed I will keep my cat’s vaccinations up to date I will keep up with my cat’s deworming I will feed my cat a good quality food I will provide my cat with veterinary care as and when needed I will keep my cat safe by keeping him/her inside at night I will take my cat with me if I move house (and inform Dogtown of the new contact info) I will take my cat with me if I immigrate (and inform Dogtown of the new contact info) Should I become unable to care for my cat, he/she has to be returned to Dogtown Consent(Required) I agree to the privacy policy.EmailThis field is for validation purposes and should be left unchanged.
