Interest Form - Dog with photos

Which dog are you interested in adopting? *

Your Details

Forename(s) *

Surname *

Address *

Postcode *

Email Address *

Confirm email

Telephone *

Your Home

Please provide a proof of address * (Please attach a utility bill or something that has your name and address to prove that you live at this address) *

Type of home you live in *

Please specify *

Please tell us the status of home ownership. *

What type of rental property do you live in? *

Do you have a private garden? *

If you don't have a private garden, what alternatives do you have for exercising a dog? *

Please attach photos of your garden

Garden Picture 1 *

Garden Picture 2 *

Garden Picture 3 *

How many adults are there in the home? *

Are there any children in the home? *

What are their ages? *

Do you own other pets? *

What types of pet do you own? *

Please state gender *

Are they neutered? *

Please specify *

Your lifestyle

How long do you expect to leave the dog alone on a regular basis (in hours)? Please give details of how often and at what part of the day *

If leaving a pet for more than 4 hours please give details of provisions you can make to break up the day

Photos of your home

Living Room Photo *

Kitchen Photo *

Room for your new pet *

Other Information

Do you have any holidays planned or moving home in the next 3 months? *

What are your plans for your new pet whilst you are on holiday? *

Your experience with dogs

Please let us know of any behaviours/ characteristics that you are unable to cope with? *

Finally

We'd love to keep you updated about our fundraising activities, products and ways in which you can support us to help the animals in our area. Please let us know how you would like to hear from us. *

We will always store your personal details securely. We will use them to provide the service you have requested and communicate with you in the way(s) you have specified. For more details, see our privacy policy.

By submitting this form you verify that all the above information is true and accurate, you agree to the RSPCA Adoption processes and that you're happy to have a home visit.