Application Form
Name of the dog you are submitting this application for.
Name
Last Name
Email
Phone Number
Address
tell us about yourself , family and the homelife you believe you can give the dog you are applying for.
Type of property lived in
Type of residency . Owner/ tenant /other please state
Permission to keep pets If rented we require proof
Details of all residents at address given
Adopters occupation (full or part time )
Has the adopter or anyone at this address ever been banned from keeping animals or been before a court on cruelty charges
Is the garden secure
Please give details of fence heights around the address
How long would the dog be left alone and how often?
What provisions are in place to limit the dog spending too much time spent alone
Any current pets at the address ?
Are the spayed/ neutered . If not please provide reason to why ?
Any children at the home
Does anyone in the family knowingly have allergies to dogs
Where will the dog be kept and what part of the house will they have access too
How will you safely transport the dog
Are you prepared to deal with any behavioural problems that arise ?
Have you ever surrendered a dog or cat to a rescue or sold them ? If yes, why ?
Any objections to the rescue keeping in contact?
Are you able to cover the cost of unexpected vet bills?
Would you agree to return the dog to the rescue should it not work out ?
Under what circumstances would you return a dog?
Have you been home checked by any other rescue?
Do you give permission for us to contact you vet for a reference if needed?
Date
Are you aware it is a legal requirement for you to keep the microchip details up to date & provide the dog with a collar with a disc with your contact details on.?
Name of the dog you are submitting this application for.
Your Signature
*
Clear
I agree to the terms & conditions
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