Adoption Form for Dogs

DOG ADOPTION: If you are interested in adopting one of the dogs on our website you will need to fully complete an application form or call us and fill one in over the phone. There is an adoption fee of £250 for our dogs. If your application is successful we will contact you with a date and time for a home visit and meet and greet at the shelter. Please note: not all applications are successful.

We cannot guarantee the dogs temperament or if housetrained.

Check your Spam Folders Please check your inbox and spam/junk boxes for emails from us. If your application is successful we will email you and as finding these dogs new, and loving homes is super important, we do not want you to miss a message from us. You may also want to add office@destituteanimalshelter.org.uk to your contacts or safe sender list.

Your Details

Please specify which of our dogs you are interested in adopting

Prefix

Full Name

YOUR AGE

Full email address

Address

Have you lived at this address for 3+ years?

Yes No

Have you got a holiday booked within the next 2 weeks?

Yes No

Please list previous Address(es).

Phone Number

What are your views on neutering?

Have you owned a pet before? (Not including dogs).

Have you ever owned a dog before?

Please tell us about your previous / current pets (sex, species, neutering, vaccinations, sociability).

Details of any previous dogs owned, if applicable.

Why do you want a dog?

Do you currently have any other animals? If yes, please list in the box below.

Home Environment

Number of people in the household:

Adults (and Ages)

Children (and Ages)

Is anyone that will be living with the dog expecting a baby?

Yes No

Is everyone who will be living with the dog aware that you are adopting a new pet?

Yes No

Do any members of your household suffer with allergies or asthma?

Yes No

Type of Accommodation

House Flat Other

Is the property

Owned Private rented Council Housing Association

Housing Association Details

If property is rented, do you have written permission to house a pet? (We will need to see proof of writing).

Yes No

Please provide landlord's details as we will need to check if you have permission.

Is your garden fenced off? If so, what height?

Do you or your partner work full time - and how many hours per day?

If you work full time and have a secondary carer for the dog please provide details of this person: Name/Address and age.

Are there times when everyone is away from the house for the whole day?

Yes No

Are you able to provide alternative care for the dog, if you are away from home?

Yes No

Do you foresee moving house shortly?

Yes No

Has veterinary care and cost been considered?

Yes No

Which Vets do you/are you planning on using?

Have you applied to any other rescues? If yes, please elaborate.

Finally, how did you hear about the D.A.S?

Protecting your personal data

The information provided on this form will be used to process your adoption application. If you are successful the information will continue to be used in connection with your adoption for the Destitute Animal Shelter. Information may be used for administrative or management purposes. By submitting this form to us, you will be deemed to signify your explicit consent to use your personal information in the manner above.

Agreement

I understand that as part of the adoption agreement, I must give any medication as and when indicated by our vets.

I also understand that if an animal has any veterinary needs the dog must be taken to our veterinary surgeon with prior arrangement with the Destitute Animal Shelter and we will cover all treatment costs. If you choose to take the dog to an alternative vet, I must cover the cost myself.

Have you read in full the description & profile of the dog you are wishing to adopt?

Yes. I also understand the dog's temperament cannot be guaranteed, nor is there a guarantee that the dog is fully housetrained.