IF YOU WOULD LIKE TO

ADOPT A DOG

PLEASE FILL IN THE FORM BELOW



IT SHOULD BE NOTED THAT WE CAN ONLY SUPPLY DOGS FOR ADOPTION IN THE U.K.

Please enter your first name


Please enter your surname


Are you Male or Female?
Male Female

Which age range do you fit into?
under 17 yrs 18-34 yrs
35-64 yrs over 65

N.B. If you are under 18 you will require parental consent 		Please enter your e-mail address


Please enter your snail mail address
Street

District

City

Postcode


do you live in a
House Upstairs Flat
Downstairs Flat

What outdoor facilities do you have
Enclosed Garden Yard
Access to Parkland

Is your home
In a built up area On a main road
In the country

Please expand if necessary

Would you prefer a
Dog Bitch Either
Minimum Age

Maximum Age


Have you any children
Yes No

Are there any children who visit regularly Yes No

Please state how many and their ages

Have you owned a dog before
Yes No

If so please tell us the breed and for how long



What facilities are in your area for exercising dogs



Have you any other pets
Yes No

If so please give details

Are there any sheep, cattle,horses or poultry
Yes No

Will you be taking the dog home by
Car Public Transport

Will the dog be left alone frequently
Yes No

If so please describe the conditions and circumstances


Why do you want a rescue dog rather than a puppy



N.B. please not it is unusual for dogs under 2 years old to become available for rescue Puppies under a year old virtually never do as they would be returned to the breeder or sold by the original purchaser. The average age of dogs requiring rescue is about 5-6 years.

If we are unable to offer a dog immediately, how long would you be prepared to wait



Please provide any other information which you think may be of help to us