Adoption Enquiry Form

If you would like to adopt a dog from us, please fill in this form as fully as you can. The more information the better! Incomplete forms will be discarded.

Unfortunately due to the fact we are a very small team of volunteers who work around their own pets, families and work – we will only contact you if you are a potential match.

If you have not heard from us within 2 weeks please see this as an unsuccessful application at this time.

Thank you.

Name and Age of Adopters:

Phone Number

Address:

Dogs name you are applying for - or type of dog you are looking for? Age/sex/size etc.

Occupation of yourself and other applicants? Please specify working hours.

Hobbies and Pastimes?

When are you ready to adopt?

Have you personally owned a dog before? Please add any other information, such as was it from a rescue/breed/type/neutered and any other relevant or previous dog experience:

Do you have suitable transport to collect a dog?

Other adults in the house and their relationship to adopter:

Children who live at the house and their ages- please also state if there are any visiting children and their ages:

Any allergies or other special needs?

Is there another resident dog(s)? Please state age/sex/neutered/dominant or submissive and any other relevant information:

Cats or other pets living in the house:

Livestock Eg. chickens, horses living outside?

Type of property? Eg. Flat/ Terrace/ Semi etc. Large/small and if it's in the town or country:

Is your property owned/privately rented/housing association? If rented do you have written permission to keep a dog?

Time lived at present address and any plans to move?

Location of property? Eg. Main road, cul-de-sac, estate, rural etc

Garden size? Fencing type and height at the lowest point (including any gates). State of repair - fox holes etc?

Is your garden secure to prevent dog theft?

Do you have a fish pond or swimming pool?

Local dog walking areas you plan to use: Eg, town, park, countryside:

Where will the dog sleep at night?

How do you feel about dogs on the furniture or beds?

Do you have or could you provide a reference letter from a vet or another rescues home-check certificate or adoption form? Please give us details if you can.

Approximate times dog will be left alone and where will it be whilst you are out? Eg. Run of the house, kitchen etc.

Who will care for the dog whilst you are on holiday? Do you have any holidays booked in the near future?

We ask for a minimum contribution of £400 for each dog adopted. Is this a problem for you?

Additional or other supporting information you may like to add. Please use this to tell us more about yourselves and why you would like to adopt one of our dogs: