Full Name E-mail Phone Number Suburb Address Years Age Occupation Working hours Spouse/Partner wants dog Children (number and ages) Expecting child Dog or breed you are interested in Ready for adoption now? If not, when. Property Type Own or rent Back yard/garden Do you have a secure back yard Yes No Do you currently have any pets, if so, what type Number Name Age Breed Are they desexed Yes No Are they vaccinated Yes No Are they allowed inside Yes No How long are they at home alone for Where do they sleep Name and number of your current vet Can I call them for a reference Yes No Any further information to help selection