ADOPTION APPLICATION FOR DOGS

PERSONAL INFORMATION

Knysna Animal Welfare Society (KAWS) takes all reasonable measures to protect your personal information and to keep it confidential, as required by the Promotion of Access to Information (PAIA), Act 2 of 2000 and the Protection of Personal Information Act (POPIA), Act 4 of 2013.

First name

Last name

Contact number

Secondary/Emergency contact

Email address

Secondary/Emergency contact number

Street address and house number

Suburb and city

How long have you lived at this address?

Postal code

Age

Occupation

Name of the dog you want to adopt

FAMILY AND HOUSING

What type of property do you live in?

Do you own or rent?

If you are renting, please provide written permission from the Body Corporate / Executive Committee or Landlord. Alternatively, please provide the name and contact details of the Body Corporate / Executive Committee or Landlord.

Body Corporate / Executive Committee / Landlord details

If you have a garden, is it fully fenced?

What is the size of your garden

How high is your fence and what material is it made from?

Does your home have a pool, if yes, have you made it dog-proof?

Other persons living on the property with you (name, age and relationship - please include all children as well).

If you have children on the property, do they have experience with animals?

Do any of the people on the property have a known allergy to dogs?

Do all the people living on the property want this pet?

CURRENT PETS

Do currently have a dog?

Are all the dogs on your property sterilised?

Please indicate the age, sex and breed of all current animals on the property

Are all the animals up to date with their vaccinations?

Have you ever surrender a pet, if so, why?

Have you ever lost and animal to Distemper, Gastroenteritis or Pravo?

Have you ever trained a dog?

If yes, what type of training?

Basic commands

Puppy classes

Obedience trainging

Agility training

Dog sports

Other

Have you previously adopted from a welfare organisation? If yes, which organisation?

VETERINARIAN INFORMATION

This section relates to your current veterinarian, if you have one.
By providing KAWS with this information, you are allowing KAWS to contact your veterinarian.
Please contact your veterinarian and ask them to authorise the release of the information to KAWS should we request it.

Do you have a regular/current veterinarian?

If you don't have a regular/current veterinarian, are you able to afford a private veterinarian?

Please provide the name and contact number of your veterinarian.

YOUR NEW DOG

This section relates to the dog that you are wanting to adopt

Preferred sex of your new dog

Size of your new dog

Why do you want a dog?

Where will the dog sleep at night?

Where will the dog be left when alone?

How will you exercise the dog? (How often will you walk and for how long?)

Preferred age of your new dog

Activity level of your new dog

Is the dog that you are wanting to adopt for yourself or for someone else?

How many hours will the dog be left alone during the day?

Will any areas of your house be off limits to the dog?

Who will take primary responsibility for the dog's daily care?

Who will take financial responsibility for this animal?

Do you have any concerns about owning a dog? If so, can you tell us more about it?

TERMS AND CONDITIONS

By clicking "SUBMIT" , you agree to the following Terms and Conditions

1. To provide regular healthcare by a licensed private veterinarian.

2. To contact Knysna Animal Welfare Society should you no longer be able to keep the animal.

3. To pay the adoption fee of R650 (six hundred and fifty rand) before taking the dog to your home and that adoption fee is non-refundable after 7 (seven) days.

4. To ensure that the dog has an identification tag, and that you will update all microchip information, should your address or contact details change.

5. Ensure that your adopted pet will be kept safe at all times, to the best of your ability.

6. That all information in this form is true and correct, and considering binding.

I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all the questions can result in this application being declined. Also, if an omission or untruth is discovered after the adoption takes place, I understand that Knysna Animal Welfare Society reserves the right to annul the adoption and reclaim the animal(s) without being refunded for the adoption fee. If the application passes this review, I agree to a home and yard/garden inspection on a mutually agreed date and time by a Knysna Animal Welfare Society inspector or volunteer before the adoption decision is finalised.

In addition, I understand that the adoption decision is dependent on many factors, including, but not limited to, the compatibility of the family and home to the individual animal, as well as other applications received for this animal. I understand that it is the prerogative of Knysna Animal Welfare Society to decide which home is the most appropriate for any animal in their care, and their decision is final.

Unless otherwise indicated by Knysna Animal Welfare, I am free to apply and undergo the application process in the future.

Date

Full names or signature