Application to adopt a Dog

Windyway Animal Sanctuary dog adoption application

First Name *
Surname *
Address *
Town *
Post Code *
Landline
Mobile Phone *
Alternative Mobile Phone
Email Address *
Alternative email address
Your date of birth *
What are you interested in. Please let us know what you are looking for *
If you are interested in a specific dog please write its name here
Please select as many options as applicable with regards to the type of dog you are looking for *	Be good with cats Be good with livestock good around children housetrained Be good with other dogs
Have you adopted a rescue dog before *	Please Select Yes No
If yes, please indicate where from
Do you own or rent your home	please select own rent
Please upload written permission from your landlord. (Applications will not be considered until this has been received)
Do you have a garden *	Please select Yes No communal
Is your garden secure? (photographic evidence will be required) *	Please select Yes No
Please upload images of your garden
Additional Photo1 Please use this to upload additional photos if required
Additional Photo2 Please use this to upload additional photos if required
Does anyone who would come into contact with the animal have any allergies or health condition *	Please Select Yes No
If yes, please give further information *
Do children live at the property *	Yes No
Please select all children's ages that apply *	0-5years 6-11 years 12-17 years 18+
How many adults live in your household *
Will children be visiting *	Please Yes No
Please select all children's ages that apply *	0-5years 6-11 years 12-17 years 18+
Do you own other animals *	Please Select Yes No
Please select which animals you already own *	Please Select Dog Cat Rabbit Birds Rodents Livestock
Please tell us if you have owned dogs previously and give information *
Are your animals neutered *	Please Select Yes No
Are your animals vaccinated *	Please Select Yes No
Please provide a Vet reference. This is a mandatory requirement if you have existing pets or have had pets. If you are unable to provide a vet reference please contact us to discuss. Please upload now or email asap
Who is your current or most recent Vet if applicable
Are you planning on moving house in the next few weeks *	Yes No
Have you got any holidays booked in the next few weeks *	Yes No
How active are you *	Please select Very active Reasonably Active Not very active
How much daily exercise do you expect to give the dog *
How long do you expect to leave the dog alone on a regular basis *
Please tell us about your experience and explain further in the additional information section, select all that apply *	I need a dog that has already been trained I am a first-time dog owner/fosterer I have trained pet dogs before I would enjoy training a dog I am an experienced owner and could train a difficult dog
What provision will you make for the animal if it should outlive you or other circumstances change? *
Who would look after the animal when you go away *
Will you be taking out insurance for unforeseen health problems? (strongly recommended) *	Please Select Yes No
Please add any additional information that you feel would support your application including previous experience.
By submitting this application you are confirming that you are able to commit to any future veterinary expenses including animal vaccination boosters, and other treatments as required. And that you have researched the full implications of taking on a pet. Please check in your junk mail for our response if none is received.
Please sign using a touch screen device *	Clear
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