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Application Received!

Thank you for applying to adopt through Connected Companions. We'll review your application and be in touch shortly.

Applicant Details

First Name * Please enter your first name.

Last Name * Please enter your last name.

Date of Birth * Please enter your date of birth.

Email Address * Please enter a valid email address.

Mobile Number * Please enter your mobile number.

Home / Alternative Number

Residential Address * Please enter your address.

Postal Address (if different from above)

Co-Applicant Name (if care is shared within the household)

Co-Applicant Email

Co-Applicant Phone

Household Members & Children

All people living in your home

Number of children

Ages of children

Does every adult in the household support this adoption? *

Yes No

Please answer this question.

Existing Pets

Do you currently own or care for other animals?

Yes No

List each pet

Are all existing pets vaccinated and registered?

Yes No Some

Veterinary Information

Veterinary Clinic Name

Veterinarian Name

Clinic Phone

Clinic Town / Address

Do you consent to Connected Companions contacting your vet?

Yes No

Lifestyle & Dog Care

Hours alone per day (average)

Days per week away from home

Where will the dog be contained when you're not home?

Arrangements when travelling or away?

Describe your typical daily routine and how a dog fits in

Do you have an emergency carer if you are seriously ill or pass away?

Yes No

Emergency Carer Name

Emergency Carer Phone

Experience & Training

Previous experience with dogs

First-time owner Previous dog owner Experienced / Multi-dog Professional / Trainer

Previous dogs owned (breed, how long, what happened)

What type of dog are you looking for and why? (size, energy, temperament)

Willing to attend training classes if recommended?

Yes No

Personal Reference

Please provide someone who knows you well but is not a family member.

Reference Full Name * Please enter a reference name.

Relationship to You * Please enter the relationship.

Reference Phone * Please enter a phone number.

Reference Email

Conditions of Adoption & Declaration

Animal Welfare Act 1999 — Duty of Care

Under the Animal Welfare Act 1999 (NZ), every owner must ensure their animal's physical, health, and behavioural needs are met. The adopter agrees to provide adequate food, fresh water, shelter, veterinary treatment, and the opportunity to display normal behaviour.

Dog Control Act 1996 — Registration & Microchipping

The adopter agrees to register the dog with their local territorial authority within one month of adoption and ensure the dog is microchipped with current contact details on the NZ Companion Animal Register (NZCAR).

Veterinary Care

All veterinary costs after adoption are the sole responsibility of the adopter. Connected Companions strongly recommends obtaining pet insurance within 14 days of adoption.

Desexing

If the dog has not been desexed prior to adoption, the adopter agrees to have it desexed by an NZ-registered veterinarian at the appropriate age and provide proof upon request.

Privacy Act 2020

Personal information is held by Connected Companions and used solely to assess this application and support animal welfare, in accordance with the Privacy Act 2020 (NZ). You have the right to access and correct your information at any time.

Long-Term Commitment

The adopter acknowledges that dogs require care for 10–16 years and commits to providing a permanent, loving home for the lifetime of the dog.

Home Inspection

The adopter agrees to allow a Connected Companions representative to conduct a mutually agreed home visit to verify suitability of the living environment.

⚠ Return Obligation — Rehoming or Surrender

If at any time the adopter is considering giving up, rehoming, transferring, or surrendering the dog for any reason, the adopter must contact Connected Companions in the first instance before making any other arrangements. Connected Companions must be given the right of first refusal to accept the dog back. The dog must not be advertised, gifted, sold, transferred, or surrendered to any third party, pound, or shelter without prior written agreement from Connected Companions. Failure to comply constitutes a breach of this agreement.

Applicant Signature *

Sign with your mouse, finger, or stylus. Please sign to confirm your agreement.

Today's Date * Please enter the date.

I confirm that all information I have provided is true, complete, and accurate. I understand that providing false information may result in refusal of this application or the immediate return of the dog. * You must agree to the declaration to submit.

Adoption Application for Bubbles

Connected Companions

Application Received!

Animal Welfare Act 1999 — Duty of Care

Dog Control Act 1996 — Registration & Microchipping

Veterinary Care

Desexing

Privacy Act 2020

Long-Term Commitment

Home Inspection

⚠ Return Obligation — Rehoming or Surrender