Application Form Dog PreferencesNames of any particular dog(s) you are interested in:Any breed(s) you are interested in?Would you prefer: *MaleFemaleEitherPreferred age range: *Are you interested in fostering or adopting a dog? *FosteringAdoptingYour DetailsName *Email Address *Phone *Street Address *CityZIP / Postal Code *CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweHousehold detailsFull names of all adults living in household *Date of birth of all adults in household *Total number of adults in household: *Total number of children living in household: *Ages of any children living in household:Do you regularly have children visit your home or stay over? Please give full details including ages: *Does anybody in the household have any physical or mental conditions that could affect their ability to look after a dog? *YesNoIf yes, please give details:Working days, hours and location (home-based/other) of each in the household: *Will working hours or location change in the near future? *YesNoDo you have any upcoming holidays or time away from home planned? *Do you have any other changes to the household planned? *Are ALL family members happy for a dog to become part of your family? *YesNoHouse detailsProperty status: *OwnedRentedIf rented do you have the landlord's permission to keep dogs? (Proof may be required)YesNoType of property: *Flat/apartmentTerraceSemi-detatchedDetatchedOtherPlease specify:Please describe your garden type including details of garden boundaries, boundary height, access, security: *What is the lowest boundary height of your garden: *Does your garden have shared access with another household? *YesNoDogs & other petsDo you currently have any dog(s): *YesNoIf yes, please state name, age, breed and sex of each dog in the household, along with any other details you feel are relevant:Are your current dogs neutered: *YesNoIf you have no dogs currently, have you kept a dog before:YesNoIf yes, please give details, including what happened to previous dogs (e.g. passed away, rehomed, etc):Have you kept a rescue dog before: *YesNoIf yes, please give details:What breeds do you have experience with?: *What areas of the home will your dog have access to when you are out in the day: *Where will your dog sleep at night? *Total number of hours a dog would be left alone in longest working day: *Do you intend to crate your dog: *YesNoUnsure - will go with rescues recommendationDetails of any type of hobbies and activities you plan on your dog taking part in: *What type of areas do you plan on exercising your dog: *How much exercise do you plan on giving your dog on an average day: *Apart from being a pet or companion, are you considering a dog for (please tick all that apply):AgilityCanicrossScentworkTraining classesWorking gundogOtherPlease specify:Why are you considering offering a home to a rescue dog? *What kind of circumstances would make you feel that the dog was not best suited in your family and would need to be rehomed through us: *Have you ever had a dog with any physical or behavioural issues before? *YesNoIf yes, please explain:How would you adapt your life to support a dog with their individual needs? *What experience do you have with training dogs: *What approach do you take with dog training and what tools would you use (e.g. reward based training/other): *What equipment do you intend to use to walk your dog: *Y-shaped harnessCollar and lead onlyHead collars (Halti style)Slip leadUnsure - will go with rescues recommendationOtherIf other, please explain:Please describe your current dog's diet or what you plan to feed a new dog: *What holiday cover and emergency back up can you provide for a dog: (Family, friends, kennels, dog walker): *Other animalsDo you have other animals in the household: *YesNoIf yes, give details: *If you already have a vet please give their details (please include address and telephone number): *If necessary can we contact your vet?: *YesNoAdditional detailsPlease provide any other information you feel relevant to your adoption application:Are you actively applying to other rescues: *YesNoIf yes, at what stage are you in the adoption process: *Where did you hear about us:Are you happy for your details to be passed on to our rehoming team and used for home check and transport paperwork if successful? Please note that unfortunately we are unable to process your application further if this is not the case: *YesNoSubmit form
