Perfect Match Dog

Which dog are you interested in adopting? *

Your Details

Title *

Forename(s)

Surname *

Address *

Postcode *

Email Address

Telephone *

Your Home

Do you own or rent your home? *

Do you have written permission from your landlord?

Do you have a private garden? *

Is your garden secure from escape? *

Please provide details of provisions to prevent escape *

How high is lowest part of your fence/wall? *

If requested, would amendments be possible? *

How many adults are there in the home? *

Are there any children in the home? *

What are their ages? *

Are you aware of any members of your household that have a pet allergy? *

Please provide details *

Are there any visiting children? *

What are their ages? *

How frequent are visits? *

Do you own dogs? *

Please state gender

Are they neutered?

Have they been vaccinated within the last year?

Do you own other pets? *

What types of pet do you own? *

Please specify

Do you have visiting animals? *

Please provide details *

Do you intend to mix your new pet with other animals outside your home?

Please provide details *

Your lifestyle

How much daily exercise to you expect to give the dog (in hours)? *

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

Have you been visited/contacted by the RSPCA Inspectors in the past? *

Please provide details *

Are you planning to move home in the next 6 months? *

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

Please let us know of any other requirements you have

Your experience with dogs

Please tell us about your experience with dogs *

Your support

What support do you have available if you become ill or unable to care for the animal? *

Do you have your own transport and are able to take the animal to a vet should it require veterinary treatment? *

How would you transport the animal to the vet? *

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.