DOG ADOPTION APPLICATION FORMΔYour Email AddressAny previous animals adopted from us Have you adopted a dog from us previously Yes NoName/s of dog/s adopted year/s adoptedDetails of the dog you are interested in adoptingFOAW ID noName of dog you are interested in adoptingYour detailsFirst NameLast NameAddressAddress line 1Address Line 2postcodeLandline MobileQuestionsCAN YOU TRAVEL TO ADOPT THE DOG ? (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 YES NOOur minimum adoption donation is £350 for adult dogs and £450 for puppies(£100 refundable on neutering) YES (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 agesDO YOU OWN ANY OTHER DOGS OR PETS ? * Please give ages/breeds of current dogs and also catsARE 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 reasonHAVE 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 neededWHAT IS THE HEIGHT OF YOUR GARDEN FENCING ?WHY DO YOU WISH TO ADOPT THIS DOG? ANY OTHER INFOWHERE 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 etcARE YOU PERSUING AN ADOPTION WITH ANOTHER RESCUE ? If yes, please provide detailsIf your application is successful are you happy for us to provide the information on the above form to our homecheckers Yes NoSubmit Form