Please fill in all the mandatory fields (marked by *)

NOTE: THIS PAGE MUST BE FILLED OUT BY ALL THOSE 18+ IN THE HOUSEHOLD
HOPING TO ADOPT A DOG
1.
2.
3.
 Yes    No
4.
5.
6.
 Yes    No
7.
8.
 Yes    No
9.
10.
 Yes    No
11.
12.
 Yes    No
13.
14.
 Yes    No
15.
*Answers to these questions will only be used by Network Ten Pty Limited and Animal Welfare League to assess suitability to participate in the program and in animal re-homing.
By submitting this form you:
- acknowledge that it forms part of an Application as defined in the Application Terms and Conditions available at https://networkten.shortaudition.tv/data/company_289/jobs/job13676/Terms_of_Use.pdf
- acknowledge that Network Ten Pty Ltd is collecting your information to record your application, administer the assessment and casting process and, if applicable, to produce the Program;
- agree to the Application Terms and Conditions, and acknowledge the Privacy Policy and Collection Statement - each of which is available at:

 - https://networkten.shortaudition.tv/data/company_289/jobs/job13676/renamed.64a5175a1550f.pdf
 - 
https://networkten.shortaudition.tv/data/company_289/jobs/job13676/renamed.64a5177360590.pdf