Adoption Application Please enable JavaScript in your browser to complete this form.Name and Surname *Id Number *AgeHome Address *Contact Number *Email *Name and contact number of Spouse / partner OR if not applicable, alternative contact personOccupation and Employer *Employer Contact Number *Number of adults in the houseNumber of children in the house, specify age(s) Residence Type *HouseApartment / FlatFarm / Small HoldingOwner of Proptery *YesNoIf no, please provide owner/landlord’s name and contact number below:If Renting - do you have landlord or body corporate approval?YesNoBoundary type: *WallFenceOther the of and Height of boundary in cm:Do you have a pool or pond? *YesNoIf yes, is it fenced off or do you have a pool cover:Is there a garden area? *YesNoWhat shelter is available for the pet outdoors:Do you have a doggy door installed on your house?Do you have plans of emigrating/ moving? * *If you move, what will happen to your dog?Have you ever owned a dog before?YesNoHave you ever given a dog away? If so, why? *Have any of your pets ever been stolen, escaped, run over or passed away? If yes, please eloborate? *Have your current dogs had a litter of puppies before? How many pets do you currently have? Please enter the Name, Age, Breed and Gender of each dog and also indicate if they have been sterilised / castrated *If they have not been sterilized / castrated please explain why.Are you able to supply proof of sterilisations and vaccinations? How many hours will the dog be left alone per day?During this time where will the dog be kept: Where will the dog sleep at night? *Inside HouseOutside KennelGarage / PatioOtherDetails of 1st choice of dog * *Details of 2nd choice of dog Details of 3rd choice of dog Why do you want this dog in particular? *Family PetGuard DogWorking DogWill you take your new dog to obedience classes, if needed? *YesNoHow much do you intend to spend on your dog in a month?Where did you hear about the dog you are applying to adopt? If seen on Facebook, please mention the relevant Facebook group: *Concent to Pet Insurance *YesNoDo you consent to No More Tears Animal Rescue sharing your personal information with Dotsure Limited to enable Dotsure Limited to contact you and provide information to you about its pet insurance products? Please note that there is no obligation at all to sign up with Dot Sure but in the event that you do sign up after receiving your obligation free quotation, No More Tears will receive a much needed donation of R 300 from Dot Sure. *I have read and understand the Terms and Conditions *YesNoI have read and understand the Standard Terms and Conditions https://nomoretears.org.za/adoption-terms-and-conditions/Submit
