Adoption Application Form

A bi-eyed (one blue and one brown eye) Siberian Husky standing in a garden

Your expression of interest to adopt with Arctic Rescue Victoria Inc.

Please complete all questions and provide as much information as possible. Incomplete applications will not be considered.

Please note: if you live in a rental property you will be required to submit a signed approval from your landlord. Applicants must be over 18 years of age.

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Your Details

First Name (required)

Last Name (required)

Address (required)

Address Line 2

Suburb (required)

State (required)

Postcode (required)

Best contact phone number (required)

Other contact phone number

Best contact email address (required)

How old are you? (the applicant) (required) years

Your age in years

Please list the ages of ALL other people living at the premises including their RELATIONSHIP to you, including children. (required)

Please indicate which dog(s) or breed(s) you are interested in adopting. (required)

Do you: (required)

Who is the home owner?

If renting, please upload or email us a copy of a signed approval from your landlord.

Please upload a scanned copy or photo of a signed letter from your landlord indicating their approval for you to have a dog on the property. (Please note, this is a requirement for your application to proceed)
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp pdf doc docx.

Are you an Australian citizen or permanent resident of Australia (required)

Yes

Leave this field blank

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