BRAG Match Asessment Form (Older than 14 months)

Please download this legal document and upload at the end of the assessment form before submitting.

brag_contract.pdf
File Size:	107 kb
File Type:	pdf

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Adoption fee R950 - R2500
It depends in costs involved such as spaying, neutering, other medical expenses, food and transportation

BRAG Match Assessment Form Dogs older than 14 months

Please be absolutely honest with your answers and do not tell us what you think we'd want to hear. We ask that you have a think about each question asked and not be disillusioned about your own motivations for wanting to adopt.

Main Contact Person (MCP)

The person applying to be matched up

MCP Name & Surname *

First

Last

MCP Phone Number *

MCP Email *

MCP ID Number *

MCP Physical Address (where match assessment will take place & pet will live) *

Line 1

Line 2

City

State

Zip Code

Country

If there is a specific Beagle you may feel is a good match to you and your family please let us know who (please note that just because you are interested it does not guarantee a match will be made) *

Second Contact person (SCP)

This person can be someone who lives with you or not. However if you are living with your parents/house or flat mate/renting from a landlord then this needs to be the second person you list.

Relationship to SCP *

SCP Name *

First

Last

SCP Phone Number *

SCP Email *

SCP ID Number *

SCP Physical Address - if not the same as MCP *

Line 1

Line 2

City

State

Zip Code

Country

What age or age range are you willing to adopt? Why this age/age range? *

Please tick all that apply and as thorough as you can
(there's no such thing as too much information - the more information we have the better match we can make)

Description of family

Children *

Residing in the home (please indicate ages) Visit regularly (please indicate age range) Children rarely visit the home (please indicate how often and estimated age range) Children never visit the home

Other Pets *

Dog (please indicate number/breed/s and age/s) Cat (please indicate number & age/s) Rabbit/Hamster/Tortoise (please indicate which, number/s and age/s) None

Please indicate ages of children residing in the home/age range of kids that visit the home etc. *

Further information on other pets *

Are all pets sterilised? *

Yes No (please indicate which pets - cats/dogs)

Did any of your pets have a litter before sterilisation? *

Yes No

Are your pets (cats/dogs) all fully vaccinated? *

Yes No

Please upload vaccination records (or e-mail to bragbeagles@gmail.com) *

Max file size: 20MB

Further information on unsterilised pets. Please explain why the pet/s is/are unsterilised *

General routine (to give us an idea of the number of hours the dog would be left alone during the day) *

If someone is at home during the day, who are they and for how long? *

Reason why you want to adopt a dog? (Watchdog/Protection/Breeding/Companion/Gift/Hunting/etc) *

Please describe the temperament/characters of the other pets in the household (if any) *

Are your other pets socialised with other animals outside of your homes? *

Yes No

Why have you chosen adoption rather than buying a dog? Please think about this and do not be afraid to say that it is a cheaper option to buying if this is the case. *

Have your dogs/cats been exposed to having other dogs in their home/in their yard? *

Yes No

Please describe the type of exposure they have had/have *

Other

Have you ever surrendered your animal to a rescue organisation or given a pet away? *

Yes (please give further detail) No

Why a pet was surrendered or given away *

What happened with previous companions who are no longer with you? (if applicable; ie gone missing/run over/died of old age/etc) *

If any of your companions have gone missing please explain the circumstances and if they were found. *

Are you prepared to provide a PERMANENT home for the life of the animal you adopt? *

Yes

Has any animal died on your premises that you know of due to Parvo/Distemper? If so, how long ago? *

Are you willing to put up with digging, chewing, house training, anxious behaviour, barking, health related issues etc and put in the necessary effort without giving up? *

Yes No

Care

Who will be responsible for your pets when you go away on holiday/away for work? *

Have you made provision if something should happen to you and who will be responsible for your pets? *

Is there shelter outside? Please describe the shelter *

How often will feeding take place? Are you open to change should a different suggestion be made? *

What time will be dedicated to walking/playing/grooming your dog? *

Do you understand that your dog must be vaccinated yearly, dewormed at least every 6 months and be treated for ticks and fleas as per prescription (at your own cost)? *

Yes

Where will the dog sleep at night? *

Does the dog have access to the inside of the house during the day/night/both? *

Are you able to provide Veterinary care, dog food and grooming for your pet? *

Yes No

Do you have your own transport? *

Yes No

If you do not have your own transport please describe what you would do in case of an emergency if your dog needs to get to the vet *

Housing

Please describe the type of housing you live in *

Living situation ie live alone/live with parents/have tenants/parents or children living with you/etc *

Rent or own? *

Rent Own Neither

Do you have permission to own a dog? *

Yes Not yet Not applicable

Nutrition

What do you feed your current dog/s (if any)? *

How many times (per day) do you feed/intend on feeding? *

What will you feed your adopted Beagle? *

Please describe any treats/titbits/table scraps you do/will feed and how regularly *

Outside

Please describe the perimeter of your yard. Walled/fenced/height/facing road/etc *

If you have a pool, is it enclosed? *

What size garden will the dog have access to? (Small/Medium/Large). Please describe your yard *

Does the dog have direct acces to get out a gate when someone is entering/leaving the property? Please describe *

Please upload pictures of fences, yard, gates/entrances to street or e-mail to bragbeagles@gmail.com

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Change of circumstances

What will happen to your pets should your circumstances change? Ie loss of job, moving into a smaller house or a place that does not allow animals *

Should you move - what will happen to your dogs? *

Are you planinning on moving/emigrating within the next 6 months - 1 year? *

Yes No

Do you understand that if for any reason that you can no longer care for your adopted Beagle/s or need assistance with issues that you have to contact Grace Animal Sanctuary/BRAG/Beagle in Mind first *

Yes

Knowledge of the breed

IMPORTANT NOTE: The information you give here (nor above for that matter) will not determine whether or not you get approved to adopt. The answers you give are crucial to an understanding to make a perfect match. Your level of understanding of the breed will only determine the character of the dog we match to you.

Please be as honest as possible. If you have no knowledge of the breed please do say so. It will not mean your application does not get approved at all, just perhaps not be a match to a certain dog. *

May Beagle in Mind/BRAG e-mail you with tips and information? *

Yes No

Advice/Guidance

Should you need any advice/guidance/assistance regarding behaviour or nutritional issues you will contact Beagle in Mind/BRAG/Grace Animal Sanctuary first *

Yes

Describe your perfect match

In this section we're not asking for a "ticklist" of requirements that we promise to meet. We are asking these questions to get a better idea of your thoughts and ideas regarding what you think would be the ideal Beagle for you and why you think so. We ask for you to give some thought on your answer and for you to have an open mind to discuss some of your perhaps preconceived ideas. We won't try to change your mind but we do ask you to hear us out and be open to thoughts and suggestions. This has allowed us to find the most perfect matches.

Male/Female/either - please describe why if you are leaning to one over the other *

Do you have a specific age/age range in mind? If yes, please describe why *

Do you require this dog to get along with family pets not residing with you? I.e parents/sister/etc *

IMPORTANT Upload (or e-mail) BRAG signed legal document that you can find at the top of this page above this form *

Max file size: 20MB

I have answered honestly and accurately to the best of my knowledge at the time of completing the form. I have read through the document provided by Grace Animal Sanctuary and will e-mail a signed copy to bragbeagles@gmail.com or upload a signed copy to this form. I understand that by clicking submit I accept all Terms and Conditions as per the legal document. *

Yes

I understand that if a dog/puppy needs to be sterilised that I will need to arrange to get him/her to Joostenbergvlakte. *

Yes

Please describe the sort of temperament/character you feel would best suit your household *

Why do you feel that the above is the best temperament/character type? *

Are you in a rush to adopt? If yes, why? *

Is there anything else you would like to add? *

Submit

We will not share your details with anyone or sell it to any 3rd parties. All information you provide is in strict confidence.