APPLICATION FORM FOR ADOPTING A DOG

Any question with a * must be answered (i.e. mandatory)

German Shepherd Interested In

Title (Mr/Mrs/Miss/Ms/Other)

Surname*

First name*

Address*

Town

Postcode*

Email*

Telephone Number(s)* (need at least one) Landline Mobile Number

Number of adults in household*

Number of children in household*

Ages of Children (if appplicable)

Any visiting children(grandchildren/nieces/nephews)* YES NO

Details of visiting children*

Any Disabilities

Property*

detatched house
semi-detatched house
terraced house
bungalow
flat
other

How long at property*

Ownership*
owned
rented
council/HA

Do you have written permission to keep a dog at these premises* YES NO

Dog to be kept at this address* YES NO

- If No Then Where?*

Do you have access to an enclosed garden* YES NO

Type of fencing and height (at lowest point)*

Employment status & hours*

Full time part time other | Hours

How long the dog would be left on its own at any one time and how often?*

Other pets

Have you owned a dog before?* YES NO

Any other pets?* YES NO

Please give details of other pets in the household (type/age/sex)*

If other pets are dogs - are they neutered? YES NO

Activities

How much exercise can you give a dog and where (Park/woodland/street walks)*

Any other info you would like us to take into consideration