Adoption Application Forms | Christchurch Border Collie Haven

Please email completed forms to

chchbordercolliehaven@gmail.com

Online Form

Full Name

Email

Phone Number

Street Address

Do you own your home?

Age & Date of Birth

Residency Status

Occupation

Number of hours per week worked

Occupational Status

Additional carers staying on the property?

Full Name

Age & DOB

Occupational status

Hours per week worked

Are you interested in a specific dog in our program?

Dogs name:

Any children living on the property?

If yes, please give details

Tell us about you!

Is your property fully fenced?

Does your property have a pool, lake, stream etc that is not properly fenced off?

Do you plan for your dog to be a pet or working dog?

Will the dog be kept, and sleep inside or outside?

Do you consent to a property check, if your application is successful?

How many other people living on the property? (include ages)

How many other pets/animals living on the property? (animal, breed, age, social status etc)

Have you owned dogs before? If so, what breed/s?

Do you have any special formal training relating to dogs / animals? (vet, first aid, etc)

If you were to be going away, who would be caring for your dog? (if boarding facility, list which)

Do you currently have a regular vet?

Do you require a dog that is fully toilet trained?

Do you require a dog that is fully obedience trained?

Are you happy to adopt a dog that is not appropriate to live with a cat?

Are you happy to adopt a dog that is not appropriate to live with children?

Are you happy to adopt a dog that requires ongoing vet care?

Are you happy to adopt a dog that is not appropriate to live with elderly people?

Are you happy to adopt a dog that is not able to be around other dogs?

Are you happy to adopt a dog that is disabled, deaf, blind, or other?

Are you happy to adopt a dog that may be timid or take time to trust new people?

Are you happy to feed your dog a species appropriate raw food diet?

Have you ever been convicted of any assault, animal cruelty, or related charges?

If yes, please give details

Do you consent to a police background check?

Do you have your own transport / driver license?

3 References. Name, Contact number, Relationship to you

DECLARATION. I confirm the information I have provided is true and correct, and understand if any information is found to be incorrect it may result in my application being terminated.

Address

Application Sent. Please note we get a lot of applications and may not be able to reply to every one we get

CBCH

We are a completely not for profit organization

ALL donations and profit from merchandise goes straight back to the dogs!

Registered charity number CC58529

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