DOG ADOPTION APPLICATION FORM Your Email Address Any previous animals adopted from us Have you adopted a dog from us previously Yes NoName/s of dog/s adopted year/s adopted Details of the dog you are interested in adoptingFOAW ID no Name of dog you are interested in adopting Your detailsFirst Name Last Name AddressAddress line 1 Address Line 2 postcode Landline Mobile QuestionsCAN YOU TRAVEL TO ADOPT THE DOG ? YES (It is a requirement of adoption that you are able to travel to the where the dog is in foster to meet and collect the dog if your application is successful NOOur minimum adoption donation is £250 for adult dogs and £350 for puppies(£100 refundable on neutering) YES (I UNDERSTAND AND THIS IS ACCEPTABLE) NO (THIS IS NOT ACCEPTABLE)HOW SOON CAN YOU ADOPT THE DOG ? 1-2 weeks 3-4 weeksHOW MANY ADULTS IN YOUR HOME ? HOW MANY CHILDREN LIVE IN OR VISITING YOUR HOME ? * please give full details of resident and visiting children and state their ages DO YOU OWN ANY OTHER DOGS OR PETS ? * Please give ages/breeds of current dogs and also cats ARE YOUR OTHER PETS NEUTERED ? It is a requirement of adoption from us that all resident dogs are neutered unless there is a medical reason. If you answer no please state the reason HAVE YOU OWNED A DOG BEFORE ? YES NOIS YOUR HOME ? A House groundfloor flat upperfloor flat A Bungalow OtherIS YOUR HOME ? Owned RentedIF RENTED - DO YOU HAVE PERMISSION TO KEEP A PET ? You will be asked to provide evidence of this at homecheck if your application is successful YES NODO YOU HAVE AN ENCLOSED GARDEN ? Yes No Repairs are neededGive repairs needed WHAT IS THE HEIGHT OF YOUR GARDEN FENCING ? WHY DO YOU WISH TO ADOPT THIS DOG? ANY OTHER INFO WHERE DID YOU SEE THE DOG ADVERTISED ? HOW MANY HOURS WOULD THE DOG BE LEFT ? * Please give the maximum hours a day that the dog would be left daily 1 - 2 hrs daily 1 - 2 hrs occasionally 3 - 4 daily 3 - 4 hrs occassionally more than 4 hrs daily more than 4 hrs occasssionallyDO YOU OR FAMILY/HOUSEHOLD MEMBERS WORK? * Yes No retired Stay at home parent otherWork details * please give as much information as possible ie: alternating shifts, working from home, older children or relatives etc ARE YOU PERSUING AN ADOPTION WITH ANOTHER RESCUE ? If yes, please provide details If your application is successful are you happy for us to provide the information on the above form to our homecheckers Yes NoSubmit Form