Trey

Name of the dog you are applying for

Title

Your Name

First

Last

Address Line 1

Town/City

County

Postcode

Phone (preferably mobile)

Email

Date of Birth

Profession

How many adults live in the home?

How many children live in the home?

What are the children’s ages?

Are there any children who visit regularly? If so, how old are they and how often do they visit?

How busy is your house on average?

Does anyone in the home suffer with allergies or asthma that may be triggered by the dog?

If yes, please specify allergies.

How many hours will the dog be left alone on weekdays? And how long on weekends?

Who will walk the dog?

How much time can you dedicate to exercising the dog?

Have you considered dog walkers or sitters?

What type of property do you live in?

If flat, please state floor level.

If other, please specify.

Is your property owned or rented?

If you rent, have you got written permission from your landlord to own a dog?

If other, please detail.

Do you have your own garden?

If you have a garden, what size is it?

Where will the dog go to the toilet?

Where will the dog sleep?

Will the dog be allowed in your home?

Will the dog be allowed on your furniture?

Do you currently have other pets?

If yes, please tell us more about them. Type of animal, age and sex.

How long have you owned the animal/s and where they are housed.

Are the animal/s vaccinated?

Are the animal/s neutered?

Please give the name and address of your veterinary surgeon if you have one or the one you are intending to use.

Have you previously owned a dog or any other pets?

If yes, please specify.

Have you previously rescued a dog?

Do you have any experience of training dogs?

If you selected yes, please specify.

Have you managed any behavioural issues in the past?

If you selected yes, please specify.

Do you have any experience of the breed of dog you’re interested in?

Are you planning any of the following in the next 6 months?

I would like my new dog to be:

If you selected other, please specify.

Why do you want a dog?

When would you be ready to rehome?

Is there any other information you would like to add to support your application?

Please tick if you are happy to receive further information from/about the shelter by:

Confirmation

I confirm that I am over 18 years of age, all of the information I have provided is correct to the best of my knowledge and the shelter can contact me about my application using the details on this form.

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