Name of Applicant/s:

Suburb:    State: NSW ACT QLD NT SA TAS WA VIC     Postcode:    

Home Phone Number: 

Mobile Phone Number:

Email address:         
If you enter more than one email address please separate with a comma, otherwise you will not receive a copy of the completed form

How did you hear about Club's Rescue and Rehoming Service?   Web search Another website DogsNSW A breeder A Rescue Organisation/Pound A Vet
 

Please click on the appropriate response

Have you owned a beagle before?    No   Yes

If not, what is your knowledge of the breed?

If you are applying to adopt one of the Club's foster beagles that is listed on the website,
what is the name of the one you are interested in adopting? :
(Your application will be considered along with any others that are received)

Your preferences :            Male        Female    Either

Age:                               Puppy      Adult       Either

Number of beagles:           One         Two         More

Are you employed?            Full time  Part-time  Unemployed Pensioner  Retired   Student

How many adults live in your household? 

How many children live with you?        Their ages:

How many hours a day will your beagle be home alone? 

Do you have other pets?        No   Yes

If yes, please specify type / breed / sex and whether desexed:

Would you consider adopting a beagle who has sustained an injury or who suffers from an existing illness/disability?

(Please think about your answer carefully. Can you afford to? Could you deal with the heartbreak if he/she did not live long?. However this can be a very rewarding experience, knowing you have given this little darling a last chance at real love and happiness.)

No   Yes    Depends on the illness/disability

If a previous dog owner (any breed), how long did you own this dog?

Where is this dog now?  Heaven   Re-homed    Surrendered to a shelter    At home

If rehomed/surrendered - for what reason? Please elaborate

In your opinion, which of the following circumstances justifies surrendering a pet?
You may check one or more

  Moving House
  Personality clash with another pet
  Escaping from your yard
  Children have lost interest and no longer take responsibility
  Too time consuming
  Ongoing medical problems
  Fears for the safety of a new baby
  Divorce / Partnership break-up
  Coat shedding
  Financial problems
  Toilet training problems
  Excessive barking
  Fear of pet being lonely while you're away from the home
  Other - please specify 

Your home:    House   Town House/Villa    Apartment    Unit  Flat    Acreage

Do you:          Own    Rent ¹    Live with parents ²

1. We will need documentation showing that you have approval from your landlord that you may own a dog
2. We will need your parent's to co-sign this application

Do you have secure fencing ?    No   Yes
(ie You need to ensure your beagle cannot escape under or over fences or get through gates) 

Approx. size of fenced area where your beagle will have access and be secure:

Do you have a dog door?    Yes      No

Is your motor vehicle air-conditioned?    Yes      No

Do you have a pool?    Yes      No        Is it beagle proof?    Yes      No

Where do you envisage your beagle will sleep? 

Are you aware that beagles cannot be let off-leash because they will run off?    Yes      No

Are you aware that beagles are quite vocal and at times can bay loudly?            Yes      No

Are you aware that beagles can take up to 30 days to adjust to a new environment?    Yes      No

Do you pledge to have your beagle vaccinated, wormed and heart-wormed at the required intervals?  Yes      No

Do you pledge to purchase products that will keep your beagle flea-free?        Yes      No

Do you pledge to seek Veterinary treatment when required?    Yes      No

Do you pledge to return the beagle to us if you encounter any difficulty?    Yes      No

Do you pledge to love and care for your beagle and consider his/her needs to be of supreme importance?    Yes      No

Would you allow your beagle to come inside?    Yes      No

Would you agree to allow us to visit you at your home prior to adoption?    Yes      No

Would you object to an occasional phone call from us to inquire about his/her well-being?    Yes      No

Is there anything else that we should know to help us assess your application?

I/We realise the commitment I/we are making to my/our beagle and agree to honour all Pledges made within this application

Agree     Do NOT agree    [NB. Selecting the Agree button is considered equivalent to signing your acceptance]

Name and number of your usual veterinarian   

Names and numbers of two (2) personal referees

1. 

2. 

I/We agree to relinquish this beagle if it is established that I have given false or misleading information in this application OR if allegations of abuse or neglect are reported to Beagle Rescue or any other animal welfare agency.

Agree    Do NOT agree    [NB. Selecting the Agree button is considered equivalent to signing your acceptance]

Thank you for submitting your application.

Beagle Rescue will carefully consider all the information you have submitted and
will contact you should there be any further details needed.

Should you have any questions you can contact Beagle Rescue by email - rescue@beagleclubnsw.org.au