Adoption Application

APPLICANT

Full Name

First Last

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Home Telephone Number*

Mobile Telephone Number

Email Address

Name of the Dog you are interested in*

Please note – we are only processing applications for dogs who are currently available on our Website or Facebook Page.

ABOUT YOU AND YOUR FAMILY

Number of Adults in the Home*

Please Select The Appropriate Age Ranges For The Adults*

18 - 35
36 - 50
51 - 70
71 +

Number of Children in the Home*

If Applicable, Please Enter The Number Of Children Under 10

Do you go out to work?*

Yes
No

If Yes, how many hours per day?

Does your partner go out to work?*

Yes
No

If Yes, how many hours per day?

ABOUT YOUR HOME AND GARDEN

Have you ever owned a dog?*

Yes
No

Do you currently own any other dogs?*

Yes
No

If yes, please give details of breed, age, gender and whether they are neutered

Have you ever adopted a dog before?*

Yes
No

Why do you want to adopt a Rescue dog?

Do You Own Your Own Home?*

Yes
No

Please note: If you live in rented accommodation you will need to have your landlord's written permission to keep a pet.

Do You Have A Secure Garden?*

Yes
No

Please indicate height of fencing/boundary at its lowest point

OTHER PETS

Do you have any cats?*

Yes
No

Are they familiar with dogs?

Yes
No
N/A

Do you have any other pets and/or livestock?*

Yes
No

If yes, please state what animals you own?

RESPONSIBILITY FOR AN ADOPTED DOG

Have you taken into consideration the costs of owning a dog?*

Yes
No

Where will the dog sleep?

Where will the dog stay during the day?

Would you be prepared to use an indoor crate if necessary?*

Yes
No

If so where would it be placed?

What will happen to the dog when you go on holiday?

Are you aware of the different types of coat care required?*

Yes
No

Are you prepared to groom yourself or pay for grooming?*

Yes
No

Are you prepared to give the dog any necessary training such as classes?*

Yes
No

Have you ever given up a dog to a rescue organisation?*

Yes
No

ADDITIONAL INFORMATION

What activities are you hoping to do with your dog? e.g. Walking, Agility, Obedience, Cuddling

Please give availability for a Home Check to be carried out (FODDR would like to meet all the occupants of the home if possible)

Have You Ever Had A Conviction For A Criminal Offence Involving Cruelty, Violence Or The Threat Of Violence To Other People Or Animals?*

Yes
No

I declare that the information provided in this application form is true and accurate. I undertake to inform FODDR if/when we no longer wish to adopt a dog

Applicant Digital Signature (Full Print Name)*

Date*

FOD Dog Rescue