Adoption Application Form Name Email Address Suburb State VIC NSW QLD NT WA SA TAS Postcode Phone Number Drivers Licence Number How did you hear about Beagle Rescue Victoria? 1. What beagle are you applying for? (leave blank if you have no preference) 2. What is your preference? Male Female No preference 3. What age do you prefer? Puppy Adult No preference 4. How many beagle would you like to adopt? One Two More 5. Have you read our 'Breed Info' page? Yes No 6. Are you employed? Full time Part time Unemployed Pensioner Retired Student 7. How many adults live with you? 8. How many children live with you? 9. What are the ages of the children? 10. How many hours a day will your beagle be without human company? 11. Do you have any other pets? (including rabbits, chickens etc) Yes No 11a. Please specify type, breed and whether or not they are desexed. 12. Would you consider adopting a beagle who has sustained an injury or who suffers from an existing illness or disability? Yes No Depends on illness/disability 13. Would you consider a cross-breed beagle? Yes No Depends on cross Depends on appearance 14.Previously, have you ever owned a beagle? Yes No If yes, please tell us about your existing beagle and their temperament If no, what is your knowledge of the breed? 15. Please tell us what behaviours and qualities you are looking for in your new beagle 16. If you are a previous dog owner (any breed), how long did you own this dog? 17. Where is your dog now? At home Deceased Re-homed Surrendered to a shelter Never owned a dog before If your dog was re-homed or surrendered, please explain the circumstances of the re-homing/surrender. 18. In your opinion, which of the following circumstances justifies surrendering a pet? (select all that apply) Moving house Escaping from your yard Financial problems Excessive barking Toilet training issues Destructive behaviour Fear of pets becoming lonely while you're away from home Personality clash with other pets Too time consuming Children have lost interest and no longer take responsibility Ongoing medical problems (with the pet) Coat shedding Fears for safety of a new baby Divorce/relationship break up Other - Please specify 19. Which best describes your home? House Unit Townhouse Apartment Flat Acerage 20. Do you: Own Rent Live with parents Sharehouse If renting, you will need to provide written approval from your landlord that you may keep a dog on the premesises. Please email a copy to: info@beaglerescuevic.org 21. What type of fencing do you have? Suburban Paling Colourbond/Metal Sheeting Farm Fencing Other If other - Please specify How tall are your fences? Are you willing to make adjustments to your fencing to ensure it its beagle proof? Yes No 22. What is the approximate size of the secured fenced area where your beagle will have access? 23. Do you have a doggy door? Yes No 24. Do you have a pool? Yes No If you have a pool, is it beagle proof? Yes No 25. Where do you envision your beagle sleeping? 26. Are you aware that beagles cannot be let off leash because they will run away? Yes No 27. Are you aware that beagles are best suited to a multi dog household? Yes No 28. Are you aware that beagles are vocal at times and can bay loudly? Yes No 29. Are you aware that beagles can take up to 30 days to adjust to a new environment? Yes No 30. Do you pledge to allow your beagle indoors? Yes No 31. Do you pledge to have your beagle vaccinated, wormed and heart-wormed at the required intervals? Yes No 32. Do you pledge to purchase products which will keep your beagle flea free? Yes No 33. Do you pledge to seek veterinary treatment when required? Yes No 34. Do you pledge to return your beagle to us if you encounter any difficulty? Yes No 35. Do you pledge to love and care for your beagle and consider their needs to be of supreme importance? Yes No 36. Would you agree to allow BRV to visit you at your home prior to adoption? Yes No 37. Would you object to an occasional phone call or email from BRV enquiring about your beagle's well-being? Yes No 40. Is there anything else BRV should know in assessing your application? 41. Please provide details of your regular vet clinic Clinic / Vet Name: Address & suburb Phone 42. Please provide details of 2 personal referees: (name and phone number) I agree that the information contained within this form is true and correct at the time of this application Name Date Submit SHARE:
