Dog Pre-Adoption Form

Please take the time to fill out this form and any additional information you feel may be relevant.
(*) indicates fields that are required.

Are you interested in a particular dog?
I confirm that I am at least 21 years of age. *
First Name *
Last Name *
Phone *
Your Email *
Street *
City *
County *
Eircode-Postcode *
Country
I consent to other trusted and registered Rescues revealing personal data in relation to homecheck assessments to CAW *
Have you had a dog/puppy before? *
If yes what happened with the dog
	Would you be prepared and able to adopt a dog with Behaviour Issues?
	Would you be prepared and able to adopt a dog with Health Issues
Do you know how to retrain kindly? *
I have read publications on training from:
I need a dog that: (select all that are a requirement to you)
How often would you be able to exercise the dog/puppy per day? *
What local facilities are there for exercising dogs in your area?
On an average day how many hours would the dog be left without human company? *
Where?
Where would your dog be when you are on holidays
Where would your dogs be when you are at work
Where would your dogs be when you are away visiting
Number of adults in household
Number of Children (ages)
Number of visiting children
Other animals - species/age/sex *
Are all the dogs in the house neutered or spayed? *
Are any members of your household allergic to dogs/puppies *
Would the dog be housed? *
Do you live in a *
Is your house *
Does the dog have access to a garden? *
If yes, type and height of garden boundary
Does your house:
How many meters are you from a road?
Are you planning any of the following in the next few months?
Have you been refused by any other organisation to obtain a dog? *
If yes, why
Is there any further information that you feel we should know before you adopt a dog?
General Data Protection Regulations (GDPR) CAW fully respects the rights to privacy and are committed to strictly adhere to GDPR. The information which you give to CAW will be used in accordance with the GDPR and 2018 EU Data Protection, and used for the following purposes : to enables CAW to create an electronic record of your personal details contained in this form; to enable a trusted CAW volunteer to match the suitability of specific dogs for you and your family; to compile statistics, or to assist other Rescues to do so, provided no statistical information that would identify you as an individual will be passed on to third parties, without you prior permission, and will not be kept any longer than deemed necessary. Is the Applicant aware of the disclaimer ? *
If unsuccessful I might be interested in another dog. *

Please check your spam folder frequently and maybe add clareanimalwelfare.ie to your whitelist as we might send further email in the course fo the adoption process.