Adoption Application Form Adoption Form Step 1 of 9 11% Your DetailsYour Name* First Last Email* Address* Town* County* Eircode:* Mobile*I am over 21 years of age* Yes No Household Lead* Yes No Are you the lead of the household in which you live?Legal Responsibility? Yes No If you are not the household lead, is the head of household happy to sign adoption papers and take legal responsibility for the dog? Dog's detailsIn this section you may specify a dog/s that you would like to adopt – if you wish. Available dogs are listed as available for adoption on our forum. Please note that it will take time to process your adoption application. During this time the dog that you have specified may be homed to another adopter who is further along the adoption process. We have limited foster space so we are unable to hold dogs for longer than it is needed for them to find a suitable home. Dogs in Distress can offer advice on the breed of dog suitable to your home. We would be happy to answer any questions you might have to help you choose the right dog for your family. Which dog/dogs you are interested in adopting:* What qualities are you looking for in a dog?* Have you researched this breed/type of dog?* Generally speaking...What age dog would you prefer and why?* What size of dog are you looking for?* Small Medium Large Don't mind Are you looking for a male or female dog? or either?* Male Female Either Dogs in FostercareBecause we use foster care rather than a kennel-based rescue service our fosterers get to know our dogs incredibly well while they are in foster care. Our fosterers teach basic obedience while the dog is with them. However our dogs have varying degrees of obedience, depending upon their circumstances before they came into our care. We will provide you with as much detail as possible before you decide on your rescue dog. However it may take at least three weeks for a dog to settle into a new home so please be patient. Would you like a dog who is...Good with children* Yes No Don't mind Good with other dogs* Yes No Don't mind Good with cats* Yes No Don't mind Good with livestock* Yes No Don't mind Good in the car* Yes No Don't mind House trained * No pups under 12 weeks of age will be fully house trained.* Yes No Don't mind Your home descriptionIs your home a...* House Apartment Townhouse Do you own or rent your home?* Rent Own Is it privately rented or a council home? Council Home Privately rented Do you have a garden or yard?* Yes No If so, what size is the garden/yard?* Small Medium Large Is your garden secure and fully enclosed?* Where will your dog sleep during the day?* Where will your dog sleep at night?* Where do you intend to keep the dog while you’re not at home?* If you are adopting a pup, where will the dog sleep as an adult?* Your familyPlease note how many people live in your home* Do they all agree to getting a rescue dog/pup?* Is anyone in the family scared or nervous of dogs?* Do you have children? If yes, please list the their ages* If yes, are the children in the family used to dogs?* Have those children ever lived with a dog?* Does anyone in the family suffers from allergies or asthma?* Does anyone in your home have any special requirements?* Your routineIn an entire day, how many hours would a dog be left alone?* At any one time, how long would the dog be left alone?* Are any adult members of the family in full or part-time employment?* If so, at what time do they leave and return from work?* Are there any family members in the home full time?* Have you got holidays booked over the next 6 months?* Exercise and behaviourAre you looking for a dog with low, medium or high energy levels?* How much exercise will your dog get on a daily basis?* If required would you bring your dog to training classes?* Other pets in your homeDo you have another dog(s)?* Yes No What age is your dog? 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Sex of Dog* Male Female Is your dog microchipped? Yes No Is your dog spayed / Neutered?* Yes No Is your dog used to other dogs?* Yes No What is the breed of your dog?* Food* What type and brand of food do you feed your dog? And how often?Do you own other pets? Please list:* Have you applied to adopt a dog from other Dog Rescues? Please provide details.* Please enter any other relevant information that could affect your adopting a dog from DID. Home Visit* I am happy for my information to be passed to a volunteer to arrange the home visit Newsletter I'm happy to receive newsletters from Dogs in Distress
