Adoption Application form

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Please provide as much information as possible on the application form and click on the Submit button once you have completed it.
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[av_contact email=’[email protected]’ title=’Send us mail’ button=’Submit’ on_send=” sent=’Your message has been sent!’ link=’manually,http://’ subject=” autorespond=” captcha=” form_align=” color=”]
[av_contact_field label=’Personal Information’ type=’html’ options=” check=” width=” multi_select=”]

Getting to know you:

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[av_contact_field label=’Name and Surname’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’ID Number’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Physical address’ type=’textarea’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’eMail address:’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Cellphone Number’ type=’text’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Daytime contact number:’ type=’text’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Home contact number:’ type=’text’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Are you:’ type=’select’ options=’Married, Divorced, Single, Living with someone’ check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Please state your employer and occupation:’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Please tell us about your working hours:’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Is there someone home during the day? ‘ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’How many hours each day will the dog be without human companionship? ‘ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Number of members in household including domestic and gardener:’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Do children visit your home and if yes, what ages?’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’What are your hobbies?’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Does any member of your household have an allergy to dogs?’ type=’select’ options=’Yes, No’ check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Property:’ type=’html’ options=” check=” width=” multi_select=”]

Property Status:

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[av_contact_field label=’Select’ type=’html’ options=” check=” width=” multi_select=”]
Please select one of the following options:
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[av_contact_field label=’I am the owner of the property ‘ type=’checkbox’ options=’The owner of the property where you are currently living, Renting, Staying on someone else’s property’ multi_select=’aviaTBaviaTBmulti_select’ check=” width=”][/av_contact_field]
[av_contact_field label=’I am renting the property’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’I am staying on someone else’s property’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’If you are renting / staying on someone else’s property, do you have permission to have pets on the property? ‘ type=’select’ options=’Yes, No’ check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’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 dog/s and size they stipulate at your residence prior to the adoption. If residing in a complex, please state type, number and size of dog permitted’ type=’text’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Tell us about your garden size and details (paved, lawn / combination)’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’House setting ‘ type=’select’ options=’Rural, Suburban’ check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Is your yard / garden fenced / walled and brief description (type and height)?’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Is there a pool? If you answered yes to the question, is the pool covered or fenced off?’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Are you planning to move in the near future?’ type=’select’ options=’Yes, No’ check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’New Canine Companion’ type=’html’ options=” check=” width=” multi_select=”]

Tell us what you are looking for in your potential new canine companion:

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[av_contact_field label=’Preferred dog gender.’ type=’select’ options=’Male, Female’ check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Age’ type=’html’ options=” multi_select=’aviaTBaviaTBmulti_select’ check=’is_empty’ width=”]
What age should your preferred dog be?
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[av_contact_field label=’2-4 months (like a toddler)’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’4-12 months(like a teenager)’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’1-3 years (young adult)’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’3+ years (sensible adult)’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’7+ years (senior)’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Special needs’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’No preference’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Behaviour’ type=’html’ options=” multi_select=’aviaTBaviaTBmulti_select’ check=” width=”]
What behavior(s) do you desire or could you accept?
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[av_contact_field label=’Very active (Take the dog with you for a jog every morning)’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Not very active (a couch potato)’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Calm/Gentle/Well-mannered/accepts strange dogs and people happily’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Reserved/Shy’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Excitable/High Energy’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Confident’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Playful’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Pushy/Tests the boundaries’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Protective of family/home’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Clingy/Dependent’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’A dog that loves cuddles’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’An independent dog’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Is there anything else you would like us to know about the type of dog you are looking for?’ type=’text’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Name(s) of dog(s) you are interested in (please list in order of which one you are most interested in, followed by other options.’ type=’text’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’I want to adopt a Pointer for’ type=’html’ options=” check=” width=” multi_select=”]
I want to adopt a Pointer for:
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[av_contact_field label=’Companionship’ type=’checkbox’ options=’Companionship, Guard Dog, Working dog, Obedience trials/training, Search & Rescue, Family companion’ multi_select=’aviaTBaviaTBmulti_select’ check=” width=”][/av_contact_field]
[av_contact_field label=’A guard dog’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’A working dog’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Obedience trials/training’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’A search and rescue dog’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Housetraining’ type=’html’ options=” multi_select=’aviaTBaviaTBmulti_select’ check=’is_empty’ width=”]
A rescue dog might not be house trained. How will you teach the dog to use the outside facilities?
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[av_contact_field label=’Call the dog when you come across a soiled area, point the area out to the dog and scold/punish him.’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’When you catch the dog in the act you distract/tell him off and take him outside where you praise him enthusiastically if he urinates/defecates there.’ type=’checkbox’ options=” check=” width=”][/av_contact_field]
[av_contact_field label=’When you find a soiled area you ignore it.’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Take the dog outside regularly to encourage him to urinate and/or defecate outside.’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’How often will you take the dog for a walk and for how long or how far?’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Time during the day’ type=’html’ options=” check=’is_empty’ width=” multi_select=”]
Where will the dog spend most of his/ her time during the day?
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[av_contact_field label=’Inside only/Inside most of the time.’ type=’checkbox’ options=” check=” width=”][/av_contact_field]
[av_contact_field label=’Outside and garage only’ type=’checkbox’ options=” check=” width=”][/av_contact_field]
[av_contact_field label=’Outside during the day, inside nights/when home.’ type=’checkbox’ options=” check=” width=”][/av_contact_field]
[av_contact_field label=’Uses dog door – access to garage only.’ type=’checkbox’ options=” check=” width=”][/av_contact_field]
[av_contact_field label=’Uses dog door – access to inside the house.’ type=’checkbox’ options=” check=” width=”][/av_contact_field]
[av_contact_field label=’Do you have shelter for your animals from the sun / rain during the day?’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Sleeping arrangements’ type=’html’ options=” check=” width=” multi_select=”]
Where will the dog sleep at night?
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[av_contact_field label=’Indoors’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Outside / Kennel / Patio’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Garage’ type=’checkbox’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’If you drive a bakkie / LDV and the back does not have a cover, would you allow the dog to ride in the back?’ type=’select’ options=’Yes, No, Not Applicable’ check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’If you go away for a few days, or on a vacation, who will take care of the dog?’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Existing pets’ type=’html’ options=” check=” width=” multi_select=”]
Tell us more about your existing pets
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[av_contact_field label=’Your dog experience – are you a:’ type=’select’ options=’First time dog owner, Multiple dog owner, Volunteer at a shelter’ check=’is_empty’ width=”][/av_contact_field]
[av_contact_field label=’What relationship do you have / have you had with past dogs, and what kind of relationship do you want from the new dog?’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Please list what kind of dogs you currently have, their ages, gender and if they are sterilised or not.’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Will your current pets accept and adjust easily to a new dog in the house? If you answered No to the question, please supply more information.’ type=’text’ options=’Yes, No’ check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Do you own any other pets eg rabbits, chickens, geese etc? Please specify below.’ type=’text’ options=’Yes, No’ check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’What type and brand of food do you feed your dog?’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Do you:’ type=’select’ options=’Leave the food out all day, Take the food bowls away after ± 20 minutes’ check=’is_empty’ width=”][/av_contact_field]
[av_contact_field label=’Who is the principle caregiver for your dog/s?’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Have you ever lost a dog / cat due to distemper, parvovirus, sniffles, biliary or rabies?’ type=’select’ options=’Yes, No’ check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’If you answered Yes to the question above, please provide details:’ type=’text’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’How many dogs or cats have you owned over the past 3 years?’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Which animals do you still have and what happened to the others?’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Are any of your current pets rescue pets?’ type=’select’ options=’Yes, No’ check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Have you ever owned a rescue pet?’ type=’select’ options=’Yes, No’ check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Are there areas in the house that are off limits for your pets? If yes, which areas?’ type=’text’ options=” check=’is_empty’ width=”][/av_contact_field]
[av_contact_field label=’Do you have pet medical aid? If you answered Yes to the question, which pet medical aid and will the rescue pet be added to the medical aid?’ type=’text’ options=’Yes, No’ check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Do you breed any of your pets? If you answered Yes to the question, are you a registered breeder and with whom?’ type=’text’ options=’Yes, No’ check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’GSP experience’ type=’html’ options=” check=” width=”]

Your GSP/Pointer experience:

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[av_contact_field label=’Have you ever owned a Pointer before? If yes, please provide more information. If no, why are you interested in adopting one now?’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Are you aware and accept that Pointers NEED a lot of exercise, mental stimulation, have a strong instinct to hunt small prey and long for interaction with their humans? ‘ type=’select’ options=’Yes, No’ check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Are you aware of that Pointers are medium to large breed dogs and although they have short hair, they do shed hair that could stick to clothes and furniture? ‘ type=’select’ options=’Yes, No’ check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’If you have never owned a Pointer have you read up on the breed and are you aware that Pointers like any other breed are often “runners” that need to be KEPT SAFE and away from where they can “escape”? ‘ type=’select’ options=’Yes, No’ check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’References’ type=’html’ options=” check=” width=” multi_select=”]

References:

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[av_contact_field label=’Would you have any objection if we contact your references?’ type=’select’ options=’Yes, No’ check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Please supply the name and contact details for your existing vet.’ type=’text’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Please supply the name, address and contact number of a family member or person living with you.’ type=’text’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Please supply the name, address and contact number of a family member or person NOT living with you.’ type=’text’ options=” check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Have you attended dog training classes? If you answered Yes to the question, please supply the name and contact details of the dog school.’ type=’text’ options=’Yes, No’ check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’General’ type=’html’ options=” check=” width=” multi_select=”]

In conclusion:

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[av_contact_field label=’Are you willing to take responsibility for this dog for the next 10 to 15 years? If NOT, please explain.’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’What provisions will you make for the dog should you become unable to care for him/her?’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’If you move, will you take the dog with you?’ type=’select’ options=’Yes, No’ check=” width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Have you ever applied to GSP Rescue SA or another shelter in the past to adopt an animal? If YES, when?’ type=’text’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Will you be willing to have a rescue representative visit your home / do a property check where you and your dogs will be staying?’ type=’select’ options=’Yes, No’ check=’is_empty’ width=” multi_select=”][/av_contact_field]
[av_contact_field label=’Are there any questions or concerns you want to discuss with us?’ type=’text’ options=” check=” width=” multi_select=”][/av_contact_field]
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