Adoption Application

description

First Name *

Middle Name

Surname *

Date of Birth *

Address Line 1 *

Town/City *

County

Postcode *

Telephone Number *

Please let us know your email address *

What type of home do you live in? (i.e. detached, terraced, flat) *

Do you live in rented (private), rented (council), shared or with family/friends *

If you do not own your own home can you provide proof that you are allowed pets/the number of pets you will have? *

Please provide the link to your Facebook account below if you have one.

Have you seen a dog you are interested in, if so what were there name?

Veterinary Practice Details - Please provide us with the details of the current veterinary practice you use/intend to use. *

Have you ever given up/rehomed/handed back a pet? If so please give details surrounding the circumstances of this. *

Do you feel prepared to deal with any problems that you may face when your dog arrives? *

Why do you want to adopt a dog? *

What problems do you anticipate in the first 2 weeks? *

What problems do you anticipate in the first 2 months? *

Do you have any Children living in your home? or visiting? If so, please list how many with their ages below *

Do you have any other animals in the home? if so what are they and how old? *

Do you have access to a fully enclosed and secure garden area? *

Are your garden fences/hedges/walls a minimum of 5 foot tall? If not would you be willing to adjust as necessary? *

If you and/or your partner work, please state your working hours *

How many hours per day would the dog be left alone? *

Do you or anyone else in your home have any mobility issues that may affect walking or caring for a dog? *

Second Applicant Name (if applicable)

Please upload photographic ID (passport, driving licence etc) *

Please upload proof of address from the last three months (bank statement, council tax etc) *

Please sign to say you achknowledge applying to us and allowing us to contact you *