Dog Adoption Application Form printable pdf download

RSPCA Leeds, Wakefield and District Branch

Moor Knoll Lane

East Ardsley

Wakefield

WF3 2DX

0113 2536952

Registered charity no. 232223

Dog Adoption Application Form

Mr/Mrs/Miss/Ms

Please tick

Name

Address

Postcode

(in full)

Home No Mobile No

Which dog/dogs are you interested in adopting? _______________________________________________________

Have you ever owned an animal before, either on your own or with others? _______________________________

If yes please give details of type/ breed and your experience with them

Please give details of any current animals in the home, including name, age, type/breed and whether or not the

animal is neutered and vaccinated.

Which vets do you plan to use or have you used in the past? ______________________________________________

Are there any children under 16 either living in or regularly visiting the house? If yes please give details of age,

whether they are residents or visit, and whether or not they are used to animals.

Has anyone in the house ever suffered from an allergic reaction to animals or currently suffering from asthma?

________________________________________________________________________________________

Please give details of where the dog will be kept when the owner is out ________________________

How many hours a day will the dog be left alone? _______________________________________________________

Who will look after your dog(s) when you go on holiday? __________________________

What behaviours would you find unacceptable, even for a short time?

Are you fully aware of the cost of keeping a dog? Yes/no___________

Please give details about your home .Is it a House / Ground floor flat / Bungalow / First floor flat

. If rented we will need to see written

Is your home your – Own / Council or housing association / privately rented

confirmation from the landlord/council before the dog can be adopted.

Do you have a private garden / Yard / none is it secure? _____________________________________________

What height approximately is the fencing at the lowest point? ____________________________________________

Are you willing to make improvements to secure it if necessary? ___________________________________________

How much exercise can you give a dog each day? _______________________________________________________

Dog Adoption Application Form