Adoption/Fostering a Dog form

Please confirm below (by signing) that you have read and understood the ‘Adoption Process’ and fulfil the requirements before submitting this form. These requirements have resulted from many years of experience in re-homing rescue dogs and are in the best interests of our dogs, if you do not currently meet our criteria we cannot re home a dog to you.

Signature

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First name

Last name

Address

Email

Phone Number

Date of Birth

Day

Month

Year

Where did you hear about us?

Are you looking to adopt or foster?

Adopting

Fostering

Dog size preference (select all that apply)

Small

Medium

Large

Dog age preference (select all that apply)

Puppy (0-1)

Adult (1-8)

Senior (8+)

Dog Gender Preference (select all that apply)

Male

Female

Residential Status

I own my property

I rent my property

If renting, we require written permission from your landlord.

How long have you lived at your address?

Less than a year

1 - 2 Years

2 - 3 Years

3+ Years

Proof of residency

Utility Bills, Bank Statements or Council Tax bills that show your name and address are accepted.

Please state the number of other addresses you have lived in prior to that time.

Does the property have a private garden?

Yes

No

Do the neighbours have cats or dogs?

Yes

No

Unsure

How many people Live at the property?

Adults

Children

Please state the ages of any children that live with you or visit your household.

Do any elderly/frail people reside at or visit the property?

Yes

No

Does anybody that resides at or may visit the household suffer from animal related allergies?

Yes

No

Have you owned dogs previously?

Yes

No

Currently own Dogs

Do you currently own any pets?

Yes

No

Have you previously adopted any rescue dogs?

Yes

No

Have you had to give a pet up for any reason? We understand this may have been upsetting but if you have please briefly inform us of your reasons.

Employment Status

Full-Time Employed

Part-Time Employed

Retired

Unemployed

How much daily exercise do you expect to give a dog in hours?

How active are you?

Very active

Reasonably active

Not very active

For how long will the dog be left alone for on a regular basis?

Do you have any big life events coming up? e.g. a holiday, moving home or starting a family?

Yes

No