ADOPTION FORM FOR DOGS AND PUPPIES

Subject

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone number

Date of Birth

Please note, we cannot accept applications from anyone under the age of 18.

Number of adults in household (Names and ages)

Number of children in household and ages

Current Pets (Species, Ages, breed, neutered?)

What animals have you owned previously? (please include breeds and relevant experience)

What type of property do you live in? (House/Flat/Other)

Is your home rented, owned by you or the council?

Do you have a garden and is it fully fenced? (Please describe size and height of fences)

Do you live near a busy road or trainline? (Please give details)

Employment (Please describe your typical work pattern)

What arrangements will you make for the dog if you go on holiday or will they go with you? Do you have any holidays booked in the next few months?)

Why do you want to adopt a dog/puppy?

Does anyone in the household suffer with allergies?

Name and address of your current veterinary practise

Have you seen a specific dog/puppy you are interested in?

Do you have a preference on age, sex, breed colour?

Extra information: How often would they be walked per day? Would they go out and about with you? (Is your car suitable) What would their social life be like (Dogs and people)

ADOPTION FORM FOR DOGS AND PUPPIES

Hay Animal Rescue Team