Adoption Application Form - Five Circles Dog Rescue
The information collated in this form will be stored securely and kept confidential and will only be shared with the Five Circles Dog Rescue team members involved at every stage of the adoption process as well as third parties such as home check team and travel companies. It is vital for the dogs in our care that we can continue to communicate with our adopters about the progress of their dogs and the work of our charity, with your explicit consent.  If at any time you do not wish to be contacted, please let us know by writing to

Before you complete this form please note that:

Adopting a dog is a wonderful thing but all rescue dogs will need a great deal of commitment patience and understanding.
Pound dogs are not toilet trained and they will need to learn how to become a pet.
If you have children they must all be older than five years old
Your garden must be secure with six feet fencing (never lower)
We do not adopt to families living in flats with no safe outside access
If you have an existing dog, please note they must be neutered. We do not place dogs with other unneutered dogs

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Which dog are you interested in? Please write down the name if you know it.
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