Register your interest in a dog

Filling in this form implies that you are in a position to rehome a dog from us within the next few days.

Please do not use this form to send a simple message or a correction, use the "reply to" option from your confirmation email. If you are interested in more than one dog, DO NOT SEND MULTIPLE FORMS, simply put up to three dogs on this form. Multiple applications for loads of dogs give the impression of window shopping, so please only fill this form in with regard to dogs you think you would seriously like to give a home to. Normally we would expect three dogs to be listed only in a case where you really dont mind which dog you might get and/or one or two of your other choices may have already been homed. Please complete this form as fully as possible.

We will do our best to process the form as quickly as possible and we aim to acknowledge your interest within 48 hours. If you make a subsequent application for a dog, then you must fill in all the fields again. Sometimes we get overwhelmed by applications and occasionally do not reply to applicants. If this happens to you, then we apologise to you. But, we do keep your details on record. We are a very small organisation and sometimes struggle to keep up with the admin work. Rest assured we are grateful to all applicants for considering one of our dogs. Please fill the form in carefully as mistakes can lead to your application being dismissed.

Thank you.

Name

Landline Telephone Number (including area code.)

Mobile Phone Number

Email Address

Address

Town

County

Post Code

Country

Name of Dog & Breed that you are interested in

Have you been homechecked by any other rescue?

Yes No

If you answered YES to the last question, by whom and have you got paperwork to say that you have passed?

Are you available to adopt immediately?

Yes No

Do you agree to the suggested non-refundable donation of £200 when adopting one of our dogs?

Yes No

Do you own your home or are you renting?

If you are renting do you have written permission from your Landlord/lady that they will allow you to take on a rescue dog?

Yes No

Please can you give the ages of all the residents in the household and also any regular child visitors.

At the moment do you have a fully enclosed and secure garden?

Yes No I have no garden of my own

Do you have any dogs already?

Yes No

Are they neutered or spayed?

Yes No

Please tell us how many dogs you have, their breed and their age.

Do you have a cat or cats?

Yes No

Are all your cats used to dogs?

Yes No

Do you have any other pets at home? If so, what are they?

Do you have a current vet? If so, please give their details here

Work commitments inc hours:

Please tell us in your own words why you want a particular dog and what you feel you can offer this dog ?

Please give us an idea of the problems you are prepared to deal with (eg nervousness, chewing, training, housetraining.)

How did you hear about us? Friday-ad, word-of-mouth, Facebook etc