Adoption / Foster - Application Form

Animal you are interested in adopting
Applicant's First Name *
Applicant's Last Name *
Address *
Town *
County *
Flat Number (if applicable)
Post Code *
Phone Number *
Email Address * Please enter correctly as this is the main way we will contact you
Alternate Phone Number
Date of Birth
Will you allow us to perform in person home checks?	NoYes
If you are not applying for a particular animal, or are open to alternatives, please confirm your preferences so that you can be offered the most suitable animal
Looking for	Bird Cat Dog Farm Animal Fish Horse Rabbit Reptile Small Mammal Wildlife
Breed Preferred	Abyssinian African Grey Amazon Anatolian Shepherd Angora Rabbit Appaloosa Appenzell Mountain Dog Applehead Siamese Arabian Australian Cattle Dog/Blue Heeler Australian Kelpie Australian Shepherd Australian Terrier Balinese Basenji Basset Hound Beagle Bearded Collie Beauceron Bedlington Terrier Belgian Hare Belgian Shepherd Dog Belgian Shepherd Laekenois Belgian Shepherd Malinois Belgian Shepherd Tervuren Bengal Bernese Mountain Dog Beveren Bichon Frise Birman Black and Tan Coonhound Black Labrador Retriever Black Mouth Cur Bloodhound Bluetick Coonhound Bobtail Bombay Border Collie Border Terrier Borzoi Boston Terrier Bouvier des Flanders Boxer Boykin Spaniel Briard Britannia Petite British Shorthair Brittany Spaniel Brotogeris Brussels Griffon Budgie/Budgerigar Bull Terrier Bullmastiff Bunny Rabbit Burmese Burmilla Caique Cairn Terrier Calico Californian Canaan Dog Canadian Hairless Canary Cane Corso Mastiff Carolina Dog Catahoula Leopard Dog Cattle Dog Cavalier King Charles Spaniel Champagne D'Argent Chartreux Checkered Giant Chesapeake Bay Retriever Chicken Chihuahua Chinchilla Chinchilla Chinchilla Chinese Crested Dog Chinese Foo Dog Chocolate Labrador Retriever Chow Chow Cinnamon Clumber Spaniel Clydesdale Cockapoo Cockatiel Cockatoo Cocker Spaniel Collie Conure Coonhound Corgi Cornish Rex Coton de Tulear Cow Creme D'Argent Cymric Dachshund Dalmatian Dandi Dinmont Terrier Deer Devon Rex Doberman Pinscher Dogo Argentino Dogue de Bordeaux Domestic Long Hair Domestic Medium Hair Domestic Short Hair Donkey/Mule Dove Draft Duck Dutch Dutch Shepherd Dwarf Dwarf Eared Eclectus Egyptian Mau Emu English Bulldog English Cocker Spaniel English Coonhound English Lop English Pointer English Setter English Shepherd English Spot English Springer Spaniel English Toy Spaniel Entlebucher Eskimo Dog Exotic Shorthair Extra-Toes Cat (Hemingway Polydactyl) Ferret Field Spaniel Fila Brasileiro Finch Finnish Lapphund Finnish Spitz Fish Flat-coated Retriever Flemish Giant Florida White Fox Fox Terrier Foxhound French Bulldog French-Lop Freshwater Fish Gaited Gecko Gerbil German Pinscher German Shepherd Dog German Shorthaired Pointer German Wirehaired Pointer Glen of Imaal Terrier Goat Golden Retriever Goose Gordon Setter Grade Great Dane Great Pyrenees Greater Swiss Mountain Dog Greyhound Guinea fowl Guinea Pig Hamster Harlequin Havana Havana Havanese Hedgehog Himalayan Himalayan Holland Lop Hotot Hound Hovawart Husky Ibizan Hound Iguana Illyrian Sheepdog Irish Setter Irish Terrier Irish Water Spaniel Irish Wolfhound Italian Greyhound Italian Spinone Jack Russell Terrier Japanese Bobtail Japanese Chin Javanese Jersey Wooly Jindo Kai Dog Kakariki Karelian Bear Dog Keeshond Kerry Blue Terrier Kishu Koi Komondor Korat Kuvasz Kyi Leo Labrador Retriever Lakeland Terrier Lancashire Heeler Leonberger Lhasa Apso Lilac Lizard Llama Lop Eared Lory/Lorikeet Lovebird Lowchen Macaw Maine Coon Maltese Manchester Terrier Manx Maremma Sheepdog Marine Fish Mastiff McNab Mini Rex Mini-Lop Miniature Pinscher Missouri Foxtrotter Mixed Breed Morgan Mountain Cur Mountain Dog Mouse Munchkin Munsterlander Mustang Mynah Neapolitan Mastiff Netherland Dwarf New Guinea Singing Dog New Zealand Newfoundland Dog Norfolk Terrier Norwegian Buhund Norwegian Elkhound Norwegian Forest Cat Norwegian Lundehund Norwich Terrier Nova Scotia Duck-Tolling Retriever Ocicat Old English Sheepdog Oriental Long Hair Oriental Short Hair Oriental Tabby Ostrich Otterhound Paint/Pinto Palomino Palomino Papillon Parakeet (Other) Parrot (Other) Parrotlet Paso Fino Patterdale Terrier (Fell Terrier) Peacock/Pea fowl Pekingese Percheron Persian Peruvian Inca Orchid Peruvian Paso Petit Basset Griffon Vendeen Pharaoh Hound Pheasant Pig (Farm) Pigeon Pionus Pit Bull Terrier Pixie-Bob Plott Hound Poicephalus/Senegal Pointer Polish Polish Lowland Sheepdog Pomeranian Pony Poodle Portugese Podengo Portuguese Water Dog Pot Bellied Prairie Dog Presa Canario Pug Puli Pumi Quaker Parakeet Quarterhorse Ragamuffin Ragdoll Rat Rat Terrier Redbone Coonhound Retriever Rex Rhea Rhinelander Rhodesian Ridgeback Ringneck/Psittacula Rosella Rottweiler Russian Blue Saddlebred Saint Bernard St. Bernard Saluki Samoyed Satin Schipperke Schnauzer Scottish Deerhound Scottish Fold Scottish Terrier Scottie Sealyham Terrier Selkirk Rex Setter Shar Pei Sheep Sheep Dog Shepherd Shetland Sheepdog Sheltie Shiba Inu Shih Tzu Siamese Siberian Siberian Husky Silky Terrier Silver Silver Fox Silver Marten Singapura Skunk Skye Terrier Sloughi Smooth Fox Terrier Snake Snowshoe Softbill (Other) Somali South Russian Ovcharka Spaniel Sphynx (hairless cat) Spitz Staffordshire Bull Terrier Standardbred Sugar Glider Swan Swedish Vallhund Tan Tennessee Walker Terrapin Terrier Thai Ridgeback Thoroughbred Tibetan Mastiff Tibetan Spaniel Tibetan Terrier Tiger Tonkinese Tortoise Tosa Inu Toucan Toy Fox Terrier Treeing Walker Coonhound Turkey Turkish Angora Turkish Van Turtle Vietnamese Pot Bellied Vizsla Warmblood Weimaraner Welsh Corgi Welsh Springer Spaniel Welsh Terrier West Highland White Terrier Westie Wheaten Terrier Whippet White German Shepherd Wild Bird Wire-haired Pointing Griffon Wirehaired Terrier Xoloitzcuintle/Mexican Hairless Yellow Labrador Retriever Yorkshire Terrier Yorkie
Gender Preferred	Male Female Unknown
Prefer a pet over (years)
Prefer a pet under (years)
Do you own other pets at the current time?	NoYes
If yes, please list their names, breeds, and ages.
Are all of your pets spayed/neutered/fixed?	Yes No N/A
How many pets have you owned in the last 5-10 years?
What happened to them?
Are your pets current on their vaccinations?	Yes no n/a
Have you ever surrendered your dog or cat into a rescue?	NoYes
If yes, please explain why?
Will you keep the animal up-to-date on vaccinations and flea / worm preventative?	NoYes
Have you ever had a pet euthanised ?	NoYes
If yes, please explain:
How do you feel about having pets spayed/neutered? Please be honest - it's how we get a better match. There is no right or wrong answer - we take a tailored view to each animal and do not want to place, for example, a male who we recommend not to be castrated for anxiety issues in a home that could not cope with "boy behaviours"
If the dog has been signed over to the rescue without being neutered (due to its age or for other medical / legal reasons), do you agree that you will be responsible for neutering the animal and all costs associated with doing so?	NoYes
Do you understand that you may be required to provide proof of neutering to the rescue ? Please note - we do not recommend neutering in all circumstances, particularly in males where behaviours can be negatively and permanently impacted by castration, but decisions will be made by the rescue, our vet, your vet and your own experience.	NoYes
Do you understand that under no circumstances will you breed from the dog – whether intentionally or accidentally – and that doing so will result in the animal and any offspring being returned to the rescue ?	NoYes
If you have pets, will they adjust to a new pet in the house?	Yes No Unsure N/A Would welcome support on this
Please select the main reason you plan to adopt a pet:	Companion Family Pet Child's Pet Guard Dog Companion for another pet Assistance / Therapy Animal Working Animal Other
If you answered "other" above, please explain here:
Please select your current residence type (select all that apply).	Detached House Semi Detatached House Terraced House Detached Bungalow Attached Bungalow Flat Almshouse Studio Bedsit Boat Caravan Mobile Home Other
If you answered "other" above, please explain here:
How long have you lived at this address?	Less than one month 1-2 months 3-6 months 6-9 months 9-12 months 1-2 years 3-5 years 6-10 years 10 + years
Do you own or rent your home?	Own Rent Someone else owns the Home Someone else rents the Home
If you rent, does your landlord and lease allow pets?	Yes No Unsure N/A
Including yourself, how many people live in your household?
Please list the ages & relationship of those who live in your home.
Is everyone in your household aware that you are planning to adopt a pet?	Yes No N/A
Number of children (under 18) living at the home, full time or part time
Ages of children
Do you have visiting children / granchildren ?	NoYes
Ages of visiting children, and how often they visit
Please describe the resident and visiting children, their experience with animals, confidence, behaviours etc Please be as descriptive as possible so we can make the right match for animal and children
Does anyone in your household have allergies to dogs/cats?	Yes No Possibly N/A
Employment Status (please select all that apply)	Full-Time Part-Time Retired Stay at Home Parent Student Unemployed Other
If you chose "other" above, please explain:
What are your work patterns ?	All adults out of the home all day One adult works out of the home one works at home Hybrid remote working - someone at home most days Someone is around every day
On average, how many hours per day will your pet be left alone?
How much do you think the annual vet bills will be for your pet? *	About £100 £100 - £200 £200 - £300 £300 - £500 £500 - £1000 £1000+
What would you do if the bills went over this amount?
Are you in a position to afford routine vet care ?	NoYes
Are you in a position to afford emergency vet care ?	NoYes
Who will the dog be insured with ?
Do you wish the Rescue to issue you 5 weeks free insurance ?	NoYes
Will this pet be predominantly living inside, outside, or both?	Inside Outside Both
Do you have a completely secure private garden ?	Completely Secure Private Garden Partially Secure Private Garden Open Private Garden Private Yard Private Balcony Communal Garden No Garden
If you answered "other" above, please explain:
If you do not have a secure garden, how will you let the animal out?
Are there times when the animal will be left outside when you are out ?	Yes No N/A
Where will the animal sleep?	In bed with me In bed with my child In a dog / cat bed In a kennel / crate Wherever he or she likes Outside Other
If you answered "other" above, please explain:
Will the animal use a crate ?	Yes No N/A
What will you be feeding the dog ?
Do you have a pool or a pond?	NoYes
Is there a fence / cover around the pool / pond?	N/A Yes No
If no, please explain:
Are you willing and able to exercise the dog on a regular basis?	Yes No N/A
If yes, what is the method of exercise?	Walking Running Dog Park / Dog Run Dog Walker Garden Other
If you answered "other" above, please explain:
Have you ever been convicted of abuse or neglect of a child or animal?	NoYes
If yes, please explain:
How will the animal be transported ?	Walk Car Bus Train Other
What arrangements will you make for the care of your pets in case of an emergency?	Leave with family/friend Boarding Pet Sitter Take with me/us Other
If you answered "other" above, please explain:
What will you do with the animal when you go on holiday?	Leave with family/friend Boarding Pet sitter Take with me/us Kennels Other
If you answered "other" above, please explain:
Do you understand that the dog must remain resident in the UK. Whilst the dog is able to leave the country for short periods on holiday, the dog is not permitted to relocate to another country permanently.	NoYes
Do you have any holidays planned in the next 3 months ?	NoYes
Due to the previous life experiences of these dogs, we may not permit them to be kennelled (home boarders and pet sitters are approved). Do you agree to this ? If this applies to the dog you are applying for this will be communicated prior to meeting	NoYes
Are you willing to take responsibility for this animal for the next 10-15years?	NoYes
If no, please explain:
Do you accept that the Rescue will remain involved in the animals life and will remain dual registered on the microchip ?	NoYes
For what reason(s) would you consider returning/giving up the animal? *
What would you do with your animal if you had to move?	Take him / her with me Give to family or friend Return to shelter Other
If you answered "other" above, please explain:
Any rescue dog may come from troubled pasts and issues may arise over the coming months / years. Are you prepared to deal with those issues ?	NoYes
Do you agree to check in with the Rescue regularly to ensure the adoptive placement is going well and inform the Rescue of any problems ?	NoYes
Do you understand that if there are any serious issues with the dog – behaviourally or medically – you need to inform the rescue immediately ?	NoYes
If you fail to inform the Rescue of any behavioural issues that have arisen but then relinquish the dog for those issues, you will agree to cover any costs associated with the dog's return	NoYes
Do you agree that if any behavioural issues arise, you will engage a trainer or behaviourist at your cost before returning the dog to the Rescue ?	NoYes
You agree to share the notes from the behaviourist or trainer with the Recue
Do you understand that you will not be able to sell / rehome / otherwise dispose of the dog to anyone other than the rescue ?	NoYes
Do you agree that if for any reason you wish to return the dog, you must keep the dog safe whilst giving the rescue sufficient and reasonable time to find a new suitable onward home ? In the event of a serious risk to harm for you or the dog, the rescue will remove the dog as soon as reasonably practicable. Where no serious risk is posed, the rehoming process can take several months.	NoYes
You agree to cover any costs related to returning a dog to the rescue for any reason, other than where the Rescue have failed to declare known issues at the time of adoption. Many rescue dogs are returned within the first year because the adopters change their minds, want to get a puppy instead, want a holiday, or embellished their experience when they applied and now find it all too much. Rescue backup is often seen as a way to return the dog when people decide they don't want it any more. Often the dog returns needing vaccinations, neutering, kennelling and transport - and these costs are sending rescues into financial distress. As a rescue we will always stand behind our dogs. However we need to ensure that we can continue to operate sustainably. Covering the costs of reckless returns allows us to keep our adoption fees for committed adoptions affordable. Each situation will be dealt with individually, and the Rescue may choose not to ask you to cover these costs.	NoYes
You agree to pay all costs related to returning a dog to the rescue where issues were communicated, or you agreed to take on arising issues, prior to adoption Costs can include but are not limited to: - Cost of kennelling where the issue is not a risk of harm but is for owner convenience / request Cost of kennelling where a risk of harm resulted from owner negligence/ actions / failure to act - Cost of re-vaccinating the animal if the vaccinations have expired - Cost of neutering if required - Costs of transport - Costs of required medical treatment that the owner was aware of but had neglected to arrange	NoYes
Do you understand that a donation towards the Rescue’s ongoing work is payable if you adopt the dog ? The adoption donations vary with the age of the animal. Dogs Under 6 months - £500 6 - 12 months - £450 12month to 2 years - £400 2 - 6 years - £350 6 - 9 years - £200 9+ years - at the adopter's discretion and appreciated but not mandatory	NoYes
Do you agree to make this donation ?	NoYes
By typing your name in lieu of a signature you agree that you have completed this form honestly and agree to all the terms contained herein *
Date Application Submitted *