Name

Street Address

Suburb

State

   Postcode          

Email

Daytime Telephone

Home      Mobile    Business  

I am over 18 years

Yes No

If under 18 - state age and if you have permission from parent/guardian to adopt a pet.

Age   Permission    Yes No

Type of pet you would like to adopt

If enquiring about a specific animal on website please give its name and Pound No. (if known)

Animal's Name      Pound No.   

If enquiry is NOT about an animal on the website, please give details

If you are interested in adopting a dog and already have one or more dogs, please give details below eg. number, breed, sex, size etc

I already have one or more pets

Yes No

Type of pet(s) you own

I have children under 10 years

Yes No

How did you find out about Sydney Dogs & Cats Home?

Local Newspaper Browsing the web Veterinary Hospital Family or Friends PAWS Website Other

If Other, please detail here

Any other comments