Application for Adoption Questionnaire

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Shon Randall
5 years ago
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The White House, Dane Hill Duns Tew, Bicester Oxon OX25 6JD Tel: 07919 625697 https://www.facebook.com/groups/sadiesstraydogrescue Email: info@sadiesstraydogrescue.

1 The White House, Dane Hill Duns Tew, Bicester Oxon OX25 6JD Tel: Paypal: Application for Adoption Questionnaire WHERE DID YOU HEAR ABOUT OUR RESCUE? NAME OF APPLICANT / MAIN CARER ADDRESS POSTCODE TELEPHONE MOBILE DATE OF BIRTH HAVE YOU SEEN A DOG YOU ARE INTERESTED IN? WHY ARE YOU INTERESTED IN THIS DOG? WHAT TYPE OF PROPERTY DO YOU LIVE IN? DO YOU OWN YOUR PROPERTY? IF RENTED DO YOU HAVE PROOF OF PERMISSION TO KEEP DOGS? HOW MANY PEOPLE LIVE IN THE PROPERTY? Adults Children. AGES OF CHILDREN IN THE PROPERTY? DO CHILDREN HAVE CONTACT WITH DOGS? AGES OF CHILDREN VISITING PROPERTY DO YOU WORK? HOW MANY HOURS? DOES YOUR PARTNER WORK? HOW MANY HOURS? WHAT ARE YOUR OCCUPATIONS? DO YOU HAVE A SECURE GARDEN AREA and APPROX SIZE, HOW HIGH IS THE HEDGE/WALL ETC

2 ANY DOGS AT PRESENT TIME? ARE THEY SPAYED? NEUTERED? BITCH or DOG? PLEASE STATE CURRENT DOG/S BREED PLEASE STATE CURRENT DOG/S AGE TEMPERAMENT/BEHAVIOUR OF CURRENT DOG/S ARE DOGS VACCINATED? ANY DOGS THAT REGULARLY VIST? If Yes, breed / sex / age of dogs DO NEIGHBOURS HAVE CHILDREN? If Yes, please give details DO NEIGHBOURS HAVE DOGS OR CATS? If Yes, please give details ANY OTHER PET(s) IN THE HOME, IF SO, WHAT? ANYONE IN THE HOUSEHOLD BANNED FROM KEEPING PETS? HAD A DOG BEFORE? IF YES, PLEASE GIVE DETAILS YES / NO IF NO PLEASE GIVE DETAILS OF OTHER DOG EXPERIENCE WHO WOULD EXERCISE THE DOG? WHERE WOULD YOU WALK THE DOG? HOW MUCH EXERCISE WOULD YOU GIVE THE DOG? WOULD THE DOG HAVE FULL RUN OF THE HOUSE? HOW LONG WOULD THE DOG BE LEFT ALONE? WHERE WOULD THE DOG BE KEPT WHEN YOU ARE OUT? WHERE WOULD THE DOG SLEEP? WOULD YOU TAKE THE DOG IN A CAR? IF YES, HOW WOULD THEY TRAVEL IN THE CAR? IF YOU DO NOT HAVE A CAR, HOW WOULD YOU TRANSPORT THE DOG TO THE VETS? WHAT WOULD YOU DO WITH THE DOG AT HOLIDAY TIMES? ie, take with you, dog sitter, kennels? ANY PLANS TO MOVE HOUSE IN NEXT 12 MONTHS? HAVE YOU CONSIDERED THE FINANCIAL IMPLICATIONS OF TAKING ON A/ANOTHER DOG INCLUDING INSURANCE, VACCINATION, SPAYING/NEUTERING FEES, FOOD, ETC? WOULD YOU PREFER A DOG OR BITCH? DOG / BITCH WHAT AGE DOG DO YOU WANT? WOULD YOU TAKE A DOG WITH ISSUES - IF SO WHAT ISSUES?

3 HOW WOULD YOU INTRODUCE YOUR NEW DOG TO YOUR HOME? HOW WOULD YOU INTRODUCE YOUR NEW DOG TO VISITORS (ESPECIALLY IF THE DOG HAS NERVOUS ISSUES) HOW WOULD YOU SOCIALISE YOUR NEW DOG WITH OTHER DOGS (ESPECIALLY IF THIS IS AN ISSUE FOR THE NEW DOG?) WILL YOU TAKE YOUR NEW DOG TO TRAINING CLASSES (IF REQUIRED) HOW FAR WOULD YOU TRAVEL TO COLLECT YOUR DOG? DO YOU AGREE TO HAVE AN ENTIRE DOG SPAYED/NEUTERED AT YOUR COST DO YOU HAVE ANY OBJECTIONS TO THE RESCUE CONTINUING CONTACTING YOU AFTER THE ADOPTION? DO YOU AGREE TO US CONTACTING YOUR VET FOR A REFERENCE? VET S NAME PRACTICE ADDRESS & PHONE NUMBER

4 IS THERE ANYTHING ELSE YOU WOULD LIKE US TO KNOW?

5 Please read the following carefully and sign below Adoption fee is 250 this is not payment for the dog but put towards the cost of passport, vaccinations and transportation to the UK. This is non-refundable and is payable on the day of the adoption. The need for insurance is essential as the rescue will not be held responsible for vet s bills. If the potential owners want a dog to live outside, it can only be a dog that is already used to living outside. We do not re-home dogs to be used for guarding, breeding or anything other than as a family pet. We may not place in a family home where they will be left for longer than 4 hours a day at any one time. There may be exceptions to this depending upon the needs of the dog We don t generally re-home in upstairs flats or where there is a communal garden or no secure area to ensure the dog s safety. There may be exceptions to this depending on the needs of the dog The new owner must agree to have the dogs either neutered or spayed within 3 months. New owners must also agree that we can keep in touch for the rest of the dog s life. A follow up visit will be arranged approximately 6 weeks after the adoption. We follow recommended guidelines regarding rehoming adult dogs with children. New owners are not allowed to re-home the dog themselves; the dog must come back to. We have a NO KILL POLICY and in putting the dogs FIRST, as it should be, we endeavour to find the very best homes for every dog that comes through our Rescue. If everything goes well at the Home Check and you are able to adopt a dog through our Rescue, you must be made aware that you cannot at any time part with that dog for any reason, unless he/she comes back to our Rescue.. Applicant s Name (PRINT) Applicant s Signature Date Volunteer s Name (PRINT) Volunteer s Signature Date

6 Please read the following carefully and sign below Adoption fee is 250 this is not payment for the dog but put towards the cost of passport, vaccinations and transportation to the UK. This is non-refundable and is payable on the day of the adoption. The need for insurance is essential as the rescue will not be held responsible for vet s bills. If the potential owners want a dog to live outside, it can only be a dog that is already used to living outside. We do not re-home dogs to be used for guarding, breeding or anything other than as a family pet. We may not place in a family home where they will be left for longer than 4 hours a day at any one time. There may be exceptions to this depending upon the needs of the dog We don t generally re-home in upstairs flats or where there is a communal garden or no secure area to ensure the dog s safety. There may be exceptions to this depending on the needs of the dog The new owner must agree to have the dogs either neutered or spayed within 3 months. New owners must also agree that we can keep in touch for the rest of the dog s life. A follow up visit will be arranged approximately 6 weeks after the adoption. We follow recommended guidelines regarding rehoming adult dogs with children. New owners are not allowed to re-home the dog themselves; the dog must come back to. We have a NO KILL POLICY and in putting the dogs FIRST, as it should be, we endeavour to find the very best homes for every dog that comes through our Rescue. If everything goes well at the Home Check and you are able to adopt a dog through our Rescue, you must be made aware that you cannot at any time part with that dog for any reason, unless he/she comes back to our Rescue.. Applicant s Name (PRINT) Applicant s Signature Date Volunteer s Name (PRINT) Volunteer s Signature Date

Application Form. Applicant Details: Full Name & Address: Applicant 1 Applicant 2. Home: Mobile: Mobile: Address

Application Form. Applicant Details: Full Name & Address: Applicant 1 Applicant 2. Home: Mobile: Mobile: Address Application Form Applicant Details: Full Name & Address: Applicant 1 Applicant 2 Telephone: Email Address Home: Mobile: Home: Mobile: DOB: Who else lives at the property? Are their children, if so what