T4A Adoption Application Form

Number of family members in household

Number of children in household

PROPERTY DESCRIPTION

Garden / Yard / ERF size

Is there someone home during the day?

Yes No

Do you rent or own?

Rent Own

If you rent, do you have the landlord’s permission to keep a dog/s?

Yes No

NB!!! If you are living in a townhouse complex or sectional title, we require written proof from the body corporate that you are allowed to keep dogs at your residence prior to the adoption.

How long have you lived at this current address?

Is your yard/garden fenced/walled?

Yes No

Brief description (height etc)

Is there a pool?

Yes No

Is the pool fenced?

Yes No

Does the pool have a cover?

Yes No

Are you planning to move in the near future?

Yes No

OTHER IMPORTANT INFORMATION

Have you adopted previously?

Yes No

If so, please list the shelters you adopted from and dates.

Have you ever given a pet away / sold a pet?

Yes No

If so, please advise the reasons?

Has a pet of your ever gone missing or have you ever had a pet that died?

Yes No

If so, please advise the reasons?

For what purposes do you want to adopt a dog?

Where do you intend to keep the dog during the day?

Outdoors Indoors

What are the sleeping arrangements for the dog at night?

Inside the house Kennel Garage or stoep Other

If other, please specify

Do you have an existing vet?

Yes No

Will you be willing to have a rescue representative visit your home?

Yes No

Do you own any other pets?

Yes No

If so, please list what kind of pets, breeds, ages, last dates they received vaccination and if they are sterilised

Do you breed any of your pets?

Yes No

If so, are you a registered KUSA breeder or not?

Who cares for your pets whilst you are away on vacation or business?

Please specify name & contact details of the above selection

Preferred gender of dog?

Male Female It doesn't matter

Coat preference?

Short Medium Long

Size preference?

Small Medium Large

Is your family active i.e. running, cycling, walking etc? Please tick the appropriate box and specify in detail.

Never Very seldom Once a week Daily

If there is a specific dog that you are interested in please list the name of the dog. Also do you have any knowledge or experience with this specific breed?

Please tick as confirmation that you are aware of the following:

Notified - Moving House

We need to be notified if you are moving house

Notified - Animal Dies

We need to be notified within 24 hours if the animal dies

Return Animal

If you no longer want the animal it must be returned to us ONLY

Home Checks

We conduct post home checks when needed

Please note that we reserve the right to deny an application should there be reason to do so. We also will conduct post home checks if we feel that it is needed.

Please note that we charge an adoption fee to cover basic costs.

This fee includes: Sterilisation (COMPULSORY) Vaccinations to cover 1 year Micro-chip (optional) Deworming

o Yearly reminders will be sent out for vaccinations and the families are required to comply within 14 days of the reminder. o If the puppies are too young to be sterilised they have to be returned to us when they are 6 months old for their sterilisation. We do not home puppies outside of Gauteng. o The new owners have the option to sterilise at their own vet however this will then be for their own account and proof of sterilisation will need to be sent to us within 21 days of receiving the request for sterilisation.

Comments: All animals must be an integral part of the family and sleep indoors (thus inside the house).

ANIMAL ADOPTION CONTRACT

Name of veterinarian/clinic

Address and phone number of vet/clinic

Description of the animal

Terms & Conditions

I HAVE READ AND FULLY UNDERSTAND THE CONDITIONS, WHICH I ACCEPT UNCONDITIONALLY

1. Should the placing be unsuccessful, I undertake to return the animal to the care of Trix 4 Animals

2. I will give the animal a fair chance to adjust to his/her new home.

3. The animal may not under any circumstance be re-homed without prior written notification to Trix 4 Animals in which event Trix 4 Animals will handle the adoption process and a new contract will be signed after a property check had been done.

4. Should the animal expire I agree to advise Trix 4 Animals of this within 3 days of the death of the animal and will provide proof from the vet.

5. I confirm that the animal will sleep indoors at night and will be treated with love, affection and respect.

6. Trix 4 Animals will not be held liable for any injury or damage caused by the adopted animal, whether to humans or other animals/pets/domestic workers/gardeners or any person or animal that enters or resides at the adopters’ premises.

7. I can afford and will provide the animal with the necessary veterinary care if and when needed.

8. I undertake to keep annual vaccinations up to date and agree to comply with the 7 days notice period given to me by Trix 4 Animals when vaccinations are needed.

9. I undertake not to chain or cage the animal, or allow him/her to be used as a guard dog on commercial or industrial premises, and understand that the animal will immediately be repossessed should this condition be contravened.

10. I undertake to keep the animal well fed, and in healthy condition at all times.

11. I will provide and maintain weatherproof accommodation of suitable size.

12. I will ensure that my property is securely enclosed for the safety of the animal, and undertake that I shall not knowingly allow the animal to roam the streets.

13. I understand that Trix 4 Animals or any person authorised by Trix 4 Animals may at any time visit my property to ensure that the above conditions are complied with.

14. I agree to give Trix 4 Animals notice if I am moving to a new property and am willing to advise the new address and allow for Trix 4 Animals to conduct a property inspection on the new property.

15. Should the animal be younger than 6 months of age on adoption, I undertake to comply with the STERILISATION of the animal at the age of 6 months and agree to comply with the 7 days notice period given to me by Trix 4 Animals when sterilisation is needed. Should the animal be too unhealthy or undernourished and sterilisation before adoption is not possible, I do comply that I will have the animal sterilised once the animal is healthy enough to do so and will comply within 7 days if Trix 4 Animals requests the sterilisation to be done.

16. No tail docking, ear clipping, declawing or removal / cutting of vocal cords will be allowed of any animal re-homed by Trix 4 Animals.

17. Should the animal at any time be found in a condition which is deemed in contravention of any of the above, a representative appointed by Trix 4 Animals or Trix 4 Animals personally may remove the animal(s) at any time.

Microchipping your pets has never been easier, cheaper nor more convenient than now!

...ADOPTION APPLICATION FORM...

Get in touch

FOSTER
APPLICATION FORM

Animal Surrender FORM

...ADOPTION APPLICATION FORM...

Get in touch

FOSTERAPPLICATION FORM

Animal Surrender FORM

FOSTER
APPLICATION FORM