Search for: HomeAnimalsLithgow Animal Shelter Adoption Application Form Lithgow Animal Shelter Adoption Application Form If you wish to adopt one of the animals from the Lithgow Animal Shelter, please complete the form below. Animal Application Form Name of Animal you are applying for: * Contact Information Your First Name: * Your Surname * Contact Phone Number * Email * Address Line 1 * Address Line 2 Town/City * State * NSWQLDVICTASSAWANTACT Postcode * Details of Application If Renting, confirm you have approval prior to applying * Yes - approval received No - approval not sought/not received Not applicable Your date of birth * You must be over 18 years to adopt a pet Do you have any other pets? * Yes No Existing pets Use add for additional pets you need to identify Type eg dog, cat, bird Breed Sex/Desexed MaleFemaleDesexed MaleDesexed Female Behaviour Description How do they get along with other animals/people etc plus1 Add minus1 Remove Further details of application How many adults are in the home? * How many children in the home? * Please list their ages eg. 7yr old 10 yr old 12yr old How many hours a day will your pet be alone? * Where will your pet spend most of it's time? * Inside Outside If you intend for your pet to spend time outside, please describe the shelter it will have Where will your pet sleep? * Do you prefer low/medium/high energy pets? * How often will you exercise your pet? * Please describe fencing around your property (material and height). * Please briefly describe your lifestyle. * Are you active, social, outdoorsy or quiet, low activity? This helps us find the best fir for our animals. Do you have anything else you would like us to know? Submit If you are human, leave this field blank.