DOG APPLICATION FORM - Marlborough Four Paws Trust (MFP)
THIS FORM IS A PRE-ADOPTION APPLICATION ONLY. Adoption fee is $350 for PUPPIES (under 1yr); and $300 for ADULT dogs (1yr +) . Fee includes desexing through MFP vet if not already done, 1st vaccination, worming and flea treatment, microchipping, registration on New Zealand Companion Animal Register, and registration with local council for the current year. All applications must be approved by MFP. We will be in touch with viewing times once your application is received. Thank you for considering to adopt and help rescue a beautiful furbaby* ❤️ *(Please note that although we try our very best to determine the breeds of the dogs we rescue and rehome, we cannot always guarantee that we will get it right as some dogs have no history when they come into our care) **PLEASE ALSO CHECK YOUR JUNK/SPAM INBOX FOR OUR RESPONSE TO THIS APPLICATION. IF NO REPLY COMES THROUGH THEN PLEASE EMAIL OR MESSAGE VIA FB**
The minimum age to be the legal registered owner of a dog is 16 - are you 16 years or over?
Yes - continue with the application
No - the person who will be the registered owner must fill out and sign this form
First Name
Last Name
Email
Please enter email again to ensure it is correct and matches the one above
Phone Number
Address
What is the name of the dog you are interested in adopting? (If no name available, please provide a description)
Has the owner of the house given you permission to have a dog? If renting we will require proof from your landlord that you are allowed a dog on the property and in your home.
Select an option
YES. My landlord is happy for me to have a dog (we will require written proof from your landlord)
YES. The house is owned by myself.
YES. The house is owned by my parents.
If you live outside the general Blenheim area would you be willing to travel to meet the dog?
Are you a NZ citizen or resident? If neither please explain.
Are you committed to the responsibility and cost of potentially caring for your dog for up to 15 years or more and providing regular exercise and any training that may be required?
You agree that the dog will be kept as a domesticated house pet and an inside dog?
You agree that the dog will be desexed if not already done and if adopting a dog under 6 months then he/she is to be desexed around 6 months of age?
You agree to cover desexing costs if the dog is adopted outside Marlborough and not possible to be desexed through MFP vet? (You can apply for a partial refund of the adoption fee once proof of desexing is received)
Do you have a safe and secure section with suitable fencing to ensure a dog cannot escape?
What is the height of your fencing?
What is the size of your yard? (Small, Medium, Large, Rural)
If you are living with others, are all the people in your household in agreement with the adoption of a dog?
On average how many hours a day would your dog be left at home alone?
Where will your dog be kept when he is home alone?
Who will care for your dog when you are on holiday?
If adopting a puppy are you prepared to dedicate the time, diligence, and patience required for ongoing training?
If adopting an adult dog they sometimes require weeks or months to adjust to their new home life and family, are you prepared for this?
Have you owned a dog before and if so what breed(s)
Please describe any current pets in your household
If there are other dogs living on your property, are they all vaccinated, desexed, chipped, and registered with your local council?
If renting and you had to vacate your property and you could not find a suitable new property that will allow dogs, what will happen to your dog?
If your dog had a medical emergency would you have the means to cover the vet costs?
Have you ever had a dog impounded or rehomed? If yes please explain.
Have you or anyone else who will be living with your dog ever been involved in any acts of animal cruelty or neglect?
If you are currently registered with a vet or have been in the past, are you happy for us to ring for a reference? If yes, please provide name and location of your vet.
And finally, please tell us a bit about the wonderful life you will be able to provide a dog 🐶
Thank you for answering all our questions. Is there any information you want to add?
Your Signature
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