Hope4Homes Dog Rescue Adoption Application Form
Please provide the link to your Facebook profile
Have you already spoken to a team member of ours and if so please give their name here:
Name of dog interested in.
*
Applicant's First Name
*
Applicant's Last Name
*
Full Address
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City
*
County
Post code
*
Phone Number
*
Alternative number
Email Address
*
Please enter correctly as this is the main way we will contact you
Confirm email
Date of Birth
*
Is this pet for you or someone else?
Myself
Someone else
Please tell us more about the type of dog you are looking for (i.e. what do you think would suit your home and lifestyle - sex, age, size, temperament etc) to help us match you to the best suitable dogs
What is your residential status?
Own Rent
Own
Rent
Live with Parents or Family
Other
How long have you lived at this address?
Does your front door lead straight onto the road?
No
Yes
Do you have a balcony?
No
Yes
Do you have a shared garden?
Yes or No
No
Yes
Please describe the garden boundaries around your home (i.e. fencing, scrubs with fencing behind, walls etc)
Does your garden(s) have a 5ft boundaries all the way around?
*
No
Yes
Do you have any pets currently?
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No
Yes
If yes, please describe your pets (i.e. dogs, cats, caged animals), breed, ages, sex, personality and their behaviours around new dogs. Are your pets up to date with vaccinations and neutered?
Have you ever given up or surrendered an animal?
No
Yes
If yes, please explain
Have you ever had a pet euthanised?
No
Yes
If yes, please explain:
Which veterinary practice do you plan on using?
If you have never owned a pet please tell us where you would go.
Is this your first rescue?
No
Yes
What experience with dogs do you have as an individual or as a family?
Do you plan on crate training?
No
Yes
Including yourself, how many people live in your household? (ages)
Is everyone in your household aware that you are planning to adopt a pet?
Yes
No
N/A
Does anyone in your household have allergies to dogs/cats?
Yes
No
Possibly
N/A
Employment Status
Full-Time
Part-Time
Retired
Work from Home
Stay at Home Parent
Student
Unemployed
Other
On average, how many hours per day will your pet be left alone?
Have you ever been convicted of abuse or neglect of an animal?
No
Yes
What arrangements will you make for the care of your pets in case of an emergency?
Leave with family/friend
Boarding
Pet Sitter
Take with me/us
Other
Do you have any holidays booked in the next 6 months? If yes, when?
No
Yes
Please select all circumstances which would result in you handing back your dog to us
Divorce/Relationship Breakdown
Illness or Poor Health
Moving House
New Baby
House Training Issues
Destructive Behaviour
Dog Larger than Expected
Dog Has Health Issues
Pets Don't Get Along
Persistent Barking
Aggressive Behaviour
Allergies
None of the Above
Other (Please Specify)
If "other", Please Explain:
Are you willing to take responsibility for this animal for the next 10-20 years?
No
Yes
Are you a registered fosterer for any other animal rescue currently?
No
Yes
Are you currently applying to adopt or foster with any other rescue?
No
Yes
What challenges do you anticipate in your first weeks and months of your new dogs arrival?
Do any members of the household have any mobility issues, unseen disabilities or long term health conditions that may affect your ability to walk or care for a dog? Give as much detail as possible:
Will you allow us to perform home checks?
No
Yes
Are you happy to send pictures of your home living areas, garden and outdoor areas and ID in order to progress to a homecheck?
No
Yes
Upon completion of a successful home check what date would you be ready for your dog to arrive from?
*
Dogs are dropped off any day when they are on transport. Are you willing to accept them off the bus (with notice), day or night?
No
Yes
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorising you to contact landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal.
Yes
No
Our adoption fee is £650 When rescuing a dog from abroad, unfortunately there are costs involved to get them ready for travel. No money is made on rescuing a dog, the adoption fee covers the bills. Breakdown of costs • VACCINATIONS -DHPPI, Leptospirosis & Rabies • TESTS - Brucellosis Canis, (The blood samples must be sent to the UK for this test) Babesia, Leishmania 4D X snap test for: Heartworm, Lyme Disease, Ëhrlichia and Anaplasma • Flea and worming treatment • Microchip • Transport to the UK + passport NO payment is made until you have completed a successful homecheck and selected a dog that matches you. Please confirm you have read this.
No
Yes
Do you have any questions you would like answering or comments you would like to pass on at this point to be considered as part of your application?
