Please complete all details on this form so that we may contact you. The more information we have, prostate the easier it will be for us to contact you.
Please note all of the fields are required.
Name Of Dog You Are Interested In
Your Address (including postcode)
Your Phone Number
Members of household, including children (and their ages)
Please can you confirm you have read all our dog care pages/leaflets
What animals have you had in the past
What animals live in your household at present? Please give details of their age / breed / treatments:
Please can you tell us your veterinary surgery so we can obtain a veterinary reference (if you live outside our area this is essential)
If applicable, how do you think your resident animal(s) would react to a new dog?
Type of property
If rented, do you have your Landlord's permission for a dog?
Do you have a garden
If YES, what is the size of the garden and height of boundary...
Access to garden
Dog Flapvia Back DoorOther
If OTHER please specify
What is the maximum length of time the dog would be left during a day?
What arrangements would you make if the dog had to be left for more than 5 hours?
Where in the house or garden would you leave the dog when you are not there?
If you have a holiday planned in the next 6 months, how will your dog be cared for when you go away?
Do you accept that along with the pleasures of having a dog, comes: (click the box to accept)
* The chewing of furniture, and other things!
* the occasional ‘soiling accident’
* ‘scooping the poop!’
* digging up the garden
* sharing the home with a child/baby
Please use this space to tell us about your lifestyle and home
Accessibility to open spaces for walking
How many hours / times a day do you plan to walk your dog?
Do you think it is necessary for a dog to have basic training?
We neuter all dogs before rehoming if old enough. If you accept a dog that is not neutered, do you agree to get it neutered?
Are you prepared to seek veterinary advice on routine vaccinations, worming and fleaing at an average yearly cost of £230 throughout your dogs life?
Are you prepared to give your dog a good diet which can cost approximately £30 - 50 month?
How would you deal with the long or short-term medical care of your dog? (time, money and energy)