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Dog Adoption Form
Name of dog you're interested in
Breed of dog
Home Telephone No
Reason for selecting this dog
What type of property do you live in?
If Other, please specify
Do you own or rent your home?
If you rent your home, do you have the landlord's permission to adopt this dog?
Please give details of your garden. What size is it? Is it secure?
Is your back garden separate from your front garden?
Do you have a communal garden or does anyone have access to the garden other than you and your family?
What is the height of your fencing at its lowest point?
How many adults live in your household?
More than 5
Please give the ages of all the adults who live at the property
Please give the occupation and work hours of all the adults living in the property
If applicable, please give the ages of any children living in the property
How many hours in any one day would a dog be left?
Up to 1 hour
Up to 2 hours
Up to 3 hours
Up to 4 hours
Up to 5 hours
More than 5 hours
How many times a week would a dog be left for the time selected above?
1 day a week
2 days a week
3 days a week
4 days a week
5 days a week
More than 5 days a week
What other animals currently live in your house? Please include breed, sex and age of animals.
If you already own dogs/cats are they all spayed/neutered?
If you've answered No to the above question, please give the reason why your dog(s)/cat(s) are not neutered.
Are all the animals you own inoculated annually and will you continue to inoculate the dog you want to adopt? You will be asked to provide proof your dogs are currently inoculated when you collect the dog. If your answer to this is No, please explain.
What dogs, if any, have you owned in the past?
Please add the two numbers
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