Pre-Adoption Application- Ellie's Canine Rescue and Rehome

PRE-ADOPTION FORM

Which dog or Pup(s) are you interested in?
First Name *
Last Name *
Address *
City *
Region *
Email address *
Phone number *
Your age (if you don't complete this properly we won't consider your application) *
Do you have children in house? How many and what are their ages? *
Preferred method of contact? * Please select your preferred method of contact
How many adults in the household? *
Your home is a: *
Is your property fully fenced? If so what materials it is made of? If not, is there a secure area for dogs to toilet off leash? *
How high is your fence at the lowest point (please measure)? * Please select one
Do you own or rent the property? *
Will the dog be alone during the day? If so, where will it be and for how long in total over the whole day? How many days a week will they left left that long? *
Where will the dog be kept at night? *
Have you owned a dog before? * Please select one
Do you have pets in the house, if so what and are they desexed? *
Do you have any other animals or poultry on the property? If you have birds are they contained in an area from the dogs? *
Have you ever given a dog you owned to a rescue, pound or a non-family member? *
How much do you expect to spend on your dog in a year? Include costs like vet bills, council registration, pet insurance, food, training and toys etc *
What food will you be feeding the dog or pup? *
Where did you hear about us? *
Any comments?
Select to agree conditions of your application * Please select all fields if you agree