Apply to Adopt

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1About You

2Your home

3Dog Information

4Other Pets in Your Home

5Your Household

6Your Routine

7Exercise & Behaviour

8Dog Care

9Your Past Dog Experience

Tell Us About Yourself

Let's start with some basic information about you and how we can contact you.

Name *

First

Last

Date Of Birth *

Phone *

Email Address *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

dog? Layout to

Tell Us About Your Home

This information helps us understand the environment your future dog will be living in.

Are all members of your household supportive of adopting a dog? *

Why do you want to adopt a dog? *

Do you own or rent your home? *

Own
Rent

If rented is your home from the (A) council or (B) private rental

What Type of home do you live in? *

House
Apartment
Other

If other what type:

How many people live in your home? *

Do You have A Garden? *

If yes, what size is it?

Small
Moderate
Large

Is your garden secure and fully enclosed?

Tell Us About the Dog You're Looking For

Help us understand the type of dog you are interested in adopting and what would best suit your lifestyle.

Please name the dog or dogs that you are interested in adopting: *

Have you researched this breed of dog? *

Why do you think this dog/s would suit your home? *

Would you like a dog who is...

	Yes	No	Don't Mind
Good with children	YesGood with children Yes	NoGood with children No	Don't MindGood with children Don't Mind
Good with other dogs	YesGood with other dogs Yes	NoGood with other dogs No	Don't MindGood with other dogs Don't Mind
Good with cats	YesGood with cats Yes	NoGood with cats No	Don't MindGood with cats Don't Mind
Good with livestock	YesGood with livestock Yes	NoGood with livestock No	Don't MindGood with livestock Don't Mind
Good in the car	YesGood in the car Yes	NoGood in the car No	Don't MindGood in the car Don't Mind
House trained	YesHouse trained Yes	NoHouse trained No	Don't MindHouse trained Don't Mind

Generally speaking, male or female dog? *

Male
Female
Don't Mind

If you have ticked the box, is there a particular reason for your answer?

What age dog would you prefer and why? *

Are you looking for a small, medium, or large dog *

Small
Medium
Large
Don't Mind

Why do you want to adopt a dog? *

Tell Us About Any Existing Pets

If you currently have pets, please provide details below.

Do you have any other pets? *

If Yes:

Name of dog:

Dogs Gender:

Male
Female

Breed:

Is the Dog Vaccinated?

Is the Dog Microchipped?

If yes, Is your dog spayed/neutered?

What Brand food do you feed your dog & how frequent you feed your dog? *

Is your dog used to other dogs?

Tell Us About Your Household

This information helps us ensure the right match between your household and your future dog.

Do you have children?

If Yes How many & How old?

Are the children used to dogs *

Is there anyone in the home who is scared or nervous around dogs? *

Is there anyone in the home who suffers from allergies or asthma? *

Is there anyone in your home who has any special requirement's?

If Yes Please specify

Tell Us About Your Daily Routine

Dogs thrive on routine and companionship. This information helps us understand how a dog will fit into your lifestyle.

Are there any family members in the home full time? *

On a typical day, at any one time, how long would the dog be left alone? *

Do you have Holidays booked in the next 6 months? *

If yes how long do you plan to stay on holidays?

Tell Us About the Lifestyle You Can Offer

This helps us understand the type of dog that would best suit your activity level and lifestyle.

Are you looking for a dog with low, medium or high energy levels

Low
Medium
High Energy
Don't Mind

How much exercise will your dog get a on a daily basis

What Type of exercise would you like to give your dog?

Where do you intend to walk your dog?

If necessary would you bring your dog to training classes?

Caring For Your Dog

Tell us about the practical arrangements you have in place for your future dog.

Where do you intend to keep the dog while you are not home? *

Where will your dog sleep during the day? *

Where will your dog sleep during the night? *

Your Previous Experience With Dogs

This helps us understand your experience and identify any support you may need.

Have you owned a dog before? *

Have you adopted a dog before? *

Can you provide transport for Vet visits, collection, etc.? *

First Choice
Second Choice
Third Choice

How do you feel about caring for a nervous/unsettled dog? *

How do you feel about caring for a sick or medical-needs dog? *

Tell Us About Yourself

Tell Us About Your Home

Tell Us About the Dog You're Looking For

Tell Us About Any Existing Pets

Tell Us About Your Household

Tell Us About Your Daily Routine

Tell Us About the Lifestyle You Can Offer

Caring For Your Dog

Your Previous Experience With Dogs

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