BARRC Expression of Interest

Details of Animal you are expressing interest in

BARRC Name *

BARRC ID No. *

Your Details

Applicant's First Name *

Applicant's Surname *

Year of Birth *

Email Address *

Mobile Phone *

What is your preferred time/day for a BARRC volunteer to ring should we need to contact you for further information?

Street Address *

City *

State *

Post Code *

Occupation

Are there any delays in your availability to adopt now? *

Are you looking for an adult dog or puppy? If adult, do you have an age preference? *

If you are considering a puppy, have you considered what he/she will be like when fully grown? (eg exercise level requirement, size etc)

Are you looking for a specific breed? If yes, please list *

Are you looking for a male or female? *

What size dog are you looking for? *

Any other preferences? (eg short hair)

Tell us a little about the type of personality you are seeking in a companion dog and what daily activities you intend to include your dog in. *

Describe your lifestyle. *

Who will this dog be sharing the home with? Please list adult members of the house hold. This ensures the dog will be comfortable sharing the space with other adults male/female. *

Will there be children living or visiting the home with the dog? This includes split custody, nieces and nephews or grandkids. *

Please provide further information including ages of children. *

Your Property

Do you own or rent your home? *

If renting, do you have written approval for this dog?

Please describe the type/materials and height of your fencing and gates. *

Is your yard considered (select one) *

Please describe available shelter for protection from hot/cold/wet weather on your property eg Patio, kennel, purpose built enclosure, dog door *

Please provide photographs of your property boundary fencing, shelter and gates.

Property Photo

Your Current Pets

Will this dog be sharing the home with other pets?Please provide Name, Age, Sex, Size/Breed of animal If you have no other animals - simply type N/A *

Pet 1 Information *

Pet 2 Information

Pet 3 Information

Pet 4 Information

Pet 5 Information

Other Animals On The Property

Are your current pets desexed?

Are your current pets fully vaccinated? *

Are you aware that all dogs must, by law, be registered with your local shire? *

If you are enquiring for a third dog, have you been approved by your shire? *

Pet Care

Tell us a little about your lifestyle and what form of exercise you will offer this dog and how often? *

How will you socialise this dog with other animals? *

Are you willing to provide obedience training for your new dog if needed? *

How many hours in a typical day will this dog be left alone without people company? *

Will this dog be indoors or outdoors *

Have you considered the financial costs involved in dog ownership. Eg Annual vet checks/vaccinations, grooming, unexpected veterinary costs, dietary requirements, training costs? *

Have you given thought to 5-10 years time and how this dog relates to your future plans? *

Provide information on your future plans

If you were to go on holidays what plans do you have for your dog? *

Please tell us anything else you consider we would like to know

Where did you hear about BARRC? *

Which advertising platform did you apply for this dog through? *

I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal. *