Adoption application form

Personal Information

First Name

Full address

Best time to contact you

Last Name

Phone number

Postcode

Your occupation

About the dog you would like to adopt

Name of the dog

Age of the dog

Breed

Family and housing information

How many adults do you live with? What are their relations to you?

How many children do you live with and what are their ages?

How long would you be away from your dog while working?

Does anyone in the family have a known allergy to dogs?

Will you have any assistants, who can look after your dog while you are away?

Other Pets:

How many pets do you live with, and what type are they?

If yes, how long have you owned said dogs?

Are these pets up to date on vaccines?

Could you write some information about them (for example: temperament, age, breed, gender)?

Are these pets spayed/neutered? If not, why?

Is there anything else you would like us to know that you feel important in your role as an adopter?

Have you ever surrendered a pet? If so, why?

Have you ever lost a pet to an accident?

How do you discipline your pets and why?

Your Vet Information:

Vets name and address:

Life with you for a new dog

Which areas of the house/flat will the dog have access to?

How many walks will your dog have each day and how long will they be?

If you go on holiday or other travel where do you plan to leave the dog?

Are you familiar with the problems dogs could experience in a new environment before they settle down? Such as nervousness, restlessness, chewing, barking, crying and accidents?

What would you do if your dog developed unwanted behaviours? Please, describe:

Should you or one of your family members develop an allergy to the dog, what would you do? Please, describe:

Will you need ongoing advice after the adoption?

Thank you! We'll be in touch.