1. Adoption Application Form 2026

Applicants

Name of dog applying for Choose from the dogs currently available for adoption.
Applicants' names
Ages
Names Other people living at the address Please list names and ages of ALL other people living at the address.
Ages
Names Regular visiting children Please list names, ages, and frequency of any regular visiting children at the address.
Ages
Frequency
Pet 1: Type (dog/cat etc.) Pets Please list all pets. (If there are more than 3 pets please use ‘any other information’ to tell us about them.)
Pet 1: Breed
Pet 1: M/F
Pet 1: Age
Pet 1: Neutered
Pet 1: Vaccinated
Pet 2: Type (dog/cat etc.)
Pet 2: Breed
Pet 2: M/F
Pet 2: Age
Pet 2: Neutered
Pet 2: Vaccinated
Pet 3: Type (dog/cat etc.)
Pet 3: Breed
Pet 3: M/F
Pet 3: Age
Pet 3: Neutered
Pet 3: Vaccinated
FULL address (to include TOWN) PLEASE NOTE: we only rehome where ALL resident dogs are neutered. Proof of neutering will be obtained at the homecheck. Contact details
Postcode
Tel no
Mobile
Email
Do you work? Work & routine
If yes, what days/hours?
How long is your commute to/from work?
How many hours per day will the dog be left (TOTAL)?
Tell us about your experience/knowledge of Boston Terriers Experience
Please tell us about your experience with dogs in general
What are your reasons for wanting to adopt the dog you have applied for?
Have you ever had to give up/rehome a dog previously? If so please explain.
Do you have any experience of dog behavioural issues? If so, what?
How have you dealt with these?
Do you have any experience of dog health issues? If so, what?
Name, address & contact number of your vet
We strongly advise getting your dog insured; do you agree to this?
Are you prepared for the financial costs; annual vaccinations etc.?
Is your home rented or owned? Your home If rented we will need to see your landlord's consent to have dogs in the property.
Is your property a house, flat or bungalow?
If flat, what floor and does it have direct access to a secure garden?
What size is your garden?
Is your garden fenced all round?
Height of fence?
Is there any other information you feel would be useful to us?

Please return your completed form to: info@ukbostonterrierrescue.co.uk

Privacy information

This privacy information sets out how UK Boston Terrier Rescue (UKBTR) uses and protects any personal information that you provide us.

UKBTR is committed to ensuring that your privacy is protected. Should we ask you to provide certain information by which you can be identified when using our rescue services, you can be assured that it will only be used in accordance with this privacy statement.

Why we collect your data

We collect your personal data in order to enable the objectives of the rescue to be achieved:

To rescue, rehabilitate and rehome Boston Terriers, Boston Terrier crosses and other small brachycephalic breeds
To raise awareness with the public on the proper care of Boston Terriers and the treatment of various health issues they can suffer from
To provide support, help and advice to Boston Terrier owners
To claim relevant tax relief from donations (i.e. Gift Aid)
To ensure compliance with the Charities Commission

What we collect

We may collect the following information in relation to:

Dogs' previous owners
Adoption applicants and Adopters
Foster applicants and Fosterers
Homecheck applicants and Homecheckers
Transporter applicants and Transporters
Veterinary records
Further information in relation to reports from other Dog Health Professionals, such as Behaviourists and Physiotherapists

What we do with the information we gather

We require this information for the purpose of:

Professional record keeping of owner, dog and volunteer information
Ensuring the successful matching of a dog to a new home
Sharing information with volunteers involved in the rescue

Security

We are committed to ensuring that your information is secure. In order to prevent unauthorised access or disclosure, we have put in place highly secure electronic systems and managerial procedures to safeguard and secure the information we collect.

Controlling your personal information

We will not distribute, sell or lease your personal information to third parties unless we have your explicit permission or are required by law to do so.

You may request details of personal information which we hold about you under the General Data Protection Regulation (GDPR). If you would like a copy of the information held on you please contact Beth Bartlett, Data Protection Officer, at this email address: info@ukbostonterrierrescue.co.uk.

If you believe that any information we are holding on you is incorrect or incomplete, please email as soon as possible at the above address. We will promptly correct any information found to be incorrect.

How you can withdraw and request to be deleted from our files

If you do not wish us to make use of your Personal Information in this way, please contact Beth Bartlett at this email address: info@ukbostonterrierrescue.co.uk. You have the right to withdraw consent.

Should you have any queries in relation to General Data Protection Regulation (GDPR), please do not hesitate to contact us, using the contact details above.