NAME AND REF NO. OF THE DOG ARE YOU INTERESTED IN ADOPTING *
Your answer
YOUR NAME *
Your answer
YOUR FULL ADDRESS (including postcode) *
Your answer
YOUR TELEPHONE NO *
Please give us a landline number whenever possible, to enable us to keep our call costs to a minimum
Your answer
MOBILE NO
Your answer
E-MAIL ADDRESS *
Your answer
CAN YOU TRAVEL TO ADOPT THE DOG ? *
It is a requirement of adoption that you are able to travel to the where the dog is in foster to meet and collect the dog if your application is successful
Our minimum adoption donation is £250 for adult dogs and £350 for puppies(£100 refundable on neutering) *
The donation is NOT refundable
HOW SOON CAN YOU ADOPT THE DOG ? *
HOW MANY ADULTS IN YOUR HOME ? *
Your answer
HOW MANY CHILDREN LIVE IN OR VISITING YOUR HOME ? *
please give full details of resident and visiting children and state their ages
Your answer
DO YOU OWN ANY OTHER DOGS OR PETS ? *
Please give ages/breeds of current dogs and also cats
Your answer
ARE YOUR OTHER PETS NEUTERED ? It is a requirement of adoption from us that all resident dogs are neutered unless there is a medical reason. If you answer no please state the reason *
Your answer
HAVE YOU OWNED A DOG BEFORE ? *
IS YOUR HOME ? *
IS YOUR HOME ?
Clear selection
IF RENTED - DO YOU HAVE PERMISSION TO KEEP A PET ?
You will be asked to provide evidence of this at homecheck if your application is successful
Clear selection
DO YOU HAVE AN ENCLOSED GARDEN ? *
Please give details in 'Other' if there are repairs required to make your garden dog-safe
WHAT IS THE HEIGHT OF YOUR GARDEN FENCING ?
Your answer
WHY DO YOU WISH TO ADOPT THIS DOG ? *
Please give us as as much information as possible as this does help us to process your application much faster
Your answer
ANY OTHER INFO
Your answer
WHERE DID YOU SEE THE DOG ADVERTISED ?
Your answer
HOW MANY HOURS WOULD THE DOG BE LEFT ? *
Please give the maximum hours a day that the dog would be left daily
DO YOU OR FAMILY/HOUSEHOLD MEMBERS WORK? *
Required
Work details *
please give as much information as possible ie: alternating shifts, working from home, older children or relatives etc:
Your answer
ARE YOU PERSUING AN ADOPTION WITH ANOTHER RESCUE ?
If yes, please provide details
Your answer
If your application is successful are you happy for us to provide the information on the above form to our homecheckers *
A copy of your responses will be emailed to the address you provided.