Adoption Enquiry form

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Email *

Have you adopted a dog from us previously? *

Yes

Name of dog/s and year adopted *

NAME AND REF NO. OF THE DOG ARE YOU INTERESTED IN ADOPTING *

YOUR NAME *

YOUR FULL ADDRESS (including postcode) *

YOUR TELEPHONE NO *

Please give us a landline number whenever possible, to enable us to keep our call costs to a minimum

MOBILE NO

E-MAIL ADDRESS *

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

yes

Our minimum adoption donation is £250 for adult dogs and £350 for puppies(£100 refundable on neutering) *

The donation is NOT refundable

YES (I UNDERSTAND AND THIS IS ACCEPTABLE)

NO (THIS IS NOT ACCEPTABLE)

HOW SOON CAN YOU ADOPT THE DOG ? *

1-2 weeks

3-4 weeks

HOW MANY ADULTS IN YOUR HOME ? *

HOW MANY CHILDREN LIVE IN OR VISITING YOUR HOME ? *

please give full details of resident and visiting children and state their ages

DO YOU OWN ANY OTHER DOGS OR PETS ? *

Please give ages/breeds of current dogs and also cats

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 *

HAVE YOU OWNED A DOG BEFORE ? *

yes

IS YOUR HOME ? *

A House

groundfloor flat

upperfloor flat

A Bungalow

Other:

IS YOUR HOME ?

Owned

Rented

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

yes

Clear selection

DO YOU HAVE AN ENCLOSED GARDEN ? *

Please give details in 'Other' if there are repairs required to make your garden dog-safe

yes

Other:

WHAT IS THE HEIGHT OF YOUR GARDEN FENCING ?

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

ANY OTHER INFO

WHERE DID YOU SEE THE DOG ADVERTISED ?

HOW MANY HOURS WOULD THE DOG BE LEFT ? *

Please give the maximum hours a day that the dog would be left daily

1 - 2 hrs daily

1 - 2 hrs occasionally

3 - 4 daily

3 - 4 hrs occassionally

more than 4 hrs daily

more than 4 hrs occasssionally

Other (please give details)

DO YOU OR FAMILY/HOUSEHOLD MEMBERS WORK? *

yes

retired

stay at home mum

Other

Required

Work details *

please give as much information as possible ie: alternating shifts, working from home, older children or relatives etc:

ARE YOU PERSUING AN ADOPTION WITH ANOTHER RESCUE ?

If yes, please provide details

If your application is successful are you happy for us to provide the information on the above form to our homecheckers *

Yes

A copy of your responses will be emailed to the address you provided.

Submit

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