*
Please note, only the adopter (over 18 years old) themselves can complete the form - please confirm.
Is everyone in your household aware that you are planning to adopt a dog?
Drop down to select
Yes
No
N/A
Is there a specific animal on our site you are interested in adopting? *
No Yes
If yes, please give name and any reference numbers if included.
Title *
Mr
Mrs
Miss
Ms
Mx
Dr
Other
Your First Name *
Your surname *
Full address *
Town *
Post Code *
Phone Number *
Please use the following format 248-555-1212
Mobile Phone Number *
Email Address *
Please enter correctly as this is the main way we will contact you
How did you find out about us?
InternetSearch
Family/Friend
Staff/Volunteer
Facebook/Twitter
national RSPCA
already know you
I am a previous adopter
I was told about you by my vet
Please check the main reason you plan to adopt a pet: *
Drop down to select
Companion
Family Pet
Child's Pet
Guard Dog
Companion for another pet
Other
If you answered "other" above, please explain here:
Are you happy to allow us to carry out a home visit (Covid rules aside)? *
No Yes
Do you own or rent your home? *
Drop down to select
Own
Rent
Someone else owns the Home
Someone else rents the Home
If you rent, does your landlord and lease allow pets? (If yes, please attach landlord's written permission, without this your application may be delayed) *
Drop down to select
Yes
No
Unsure
N/A
Please could you list how many people live in your household *
Do you have any children under the age of 16 living at this address? *
No Yes
If you answered "yes" above please list the ages of any children under the age of 16
Do you have any visiting children under the age of 16? *
No Yes
If you answered "yes" above please list ages of children and frequency of visits
Are you looking for a male or female animal? *
Male
Female
Doesn't matter
On average, how many hours per day will the dog be left alone?(more than one can be selected) *
0-2 hours
2-4 hours
4-6 hours
6-8 hours
8+ hours
Do you own any other dogs? *
No Yes
What gender(s) is/are your other dog(s)? *
Drop down to select
Female only
Male only
Both Male and Female
No other dogs
Are your other dogs neutered/spayed/castrated/fixed? *
Drop down to select
Yes
No
Some are but not all of them
no other dogs
Are your other dogs up to date on their vaccinations? *
Drop down to select
Vaccinated within the past 12 months
Vaccinated within the past 3 years
no
no other dogs
Do you own any other pets? (more than one can be selected) *
Cats
Birds
Reptiles
Rabbit
Guinea pig
Small furry
Other
None
If you answered "other" to the above question, please list what other animals live in your home
Do you have any visiting animals (e.g family/friends' cats and dogs) or would you need to take a dog with you to visit? *
No Yes
If you answered "yes" above please give details
How important is it that the dog be good with cats *
Drop down to select
Very Important
Quite Important
Not Important
How important is it that the dog be good with other dogs? *
Drop down to select
Very Important
Quite Important
Not Important
How important is it that the dog be good with children? *
Drop down to select
Very Important
Quite Important
Not Important
How important is it that the dog be house trained? *
Drop down to select
Very Important
Quite Important
Not Important
How important is it that the dog like being picked up/handled? *
Drop down to select
Very Important
Quite Important
Not Important
How important is it that the dog enjoys playing with toys *
Drop down to select
Very Important
Quite Important
Not Important
How important is it that the dog likes strangers? *
Drop down to select
Very Important
Quite Important
Not Important
How important is it that the dog likes travelling in the car? *
Drop down to select
Very Important
Quite Important
Not Important
What Age of Dog? (more than one can be selected) *
Under 6 months
6 months-2 years
2-5 years
5-8 years
8 years +
Any Age
What size of dog? (more than one can be selected) *
Toy (e.g Chihuahua)
Small (e.g Jack Russel)
Medium (e.g Staffie)
Large (e.g Labrador)
Giant (e.g Great Dane)
Any size
Will this pet be predominantly living inside, outside, or both? *
Drop down to select
Inside
Outside
Both
Tell us a bit about your garden (more than one can be selected) *
I don't have a secure garden
It is fenced to 4 feet (120cm)
It is fenced to 5 feet (150cm)
It is fenced to 6 feet (180cm)
It is a shared secure garden
It is a shared not secure garden
I dont have a garden
If you do not have a garden or a secure garden, where will you let the animal out?
What would you do with your animal if you had to move? *
What arrangements will you make for the care of your pets in case of an emergency? *
Do you have any plans to holiday away, or move home within the next 3 months (this includes any short weekend trips)? *
What will you do with the animal when you go on holiday? *
Please select appropriate answers relating to your experience with dogs (can select multiple) *
Drop down to select
I am a first time dog owner
I am happy to train a dog
I have experience of training dogs
Please tell us about your experience with dogs e.g raising puppies, recall training/basic training, breeds previously owned, behaviour issues dealt with, dog sports participated in *
Please describe your activity levels and what exercise and enrichment you would do with a dog *
Where would you NEED to take your dog? (more than one can be selected) *
Drop down to select
Cafe
Pub
Beach
Fates/events
School run
Regular holidays
Travel
Dog walker/group dog walks
Doggy day care
None of the above
You can save time later by attaching official photo ID Now
Please attach pictures of your secure garden and property etc to support your application (without this your application may be delayed)
Please attach pictures of your secure garden and property etc to support your application (without this your application may be delayed)
Please attach pictures of your secure garden and property etc to support your application(without this your application may be delayed)
Please attach pictures of your secure garden and property etc to support your application(without this your application may be delayed)
Please attach pictures of your secure garden and property etc to support your application (without this your application may be delayed)
Please attach pictures of your secure garden and property etc to support your application (without this your application may be delayed)
If you have a document which shows you have landlord permission to keep a pet (where needed) you can attach this (only images can be attached at present)
We would love to keep you updated about our fundraising activities, news and ways in which you can help animals. Do you wish for us to keep you updated? *
No Yes
If you answered YES to the above question, please tell us how you would like to hear from us:
Email
Phone
Post
SMS
Email
Phone
Post
SMS