Thank you for your interest in adopting a dog from our centre. We just need to get a few details so that we can see if the dog you are interested in is a suitable match. Please answer as honestly as you can
Please give us the name of the dog pictured on our website that you are interested in adopting.
You must be over 18 to adopt an animal from us. Please confirm that you are over 18 years of age. I am over 18 Title MrMrsMissMsOther Surname First Name Address Postcode Email Telephone
Do you live in a flat ? NoYes Do you own or rent your property: OwnRent If you rent, have you got written permission from your landlord? N/AYesNo
Do you have a garden ? YesNoCommunal Is the garden secure from escape? YesNoNot SureN/A
Number of adults living in the household Number of Children living in the household Children Ages Are there any regular visiting children? NoYes Visiting children ages
Do you own other dogs? NoYes If Yes, please state gender N/AMaleFemale Are they neutered? N/AYesNo Have they been vaccinated within the last year N/AYesNo Do you own other pets ? NoCatsRodentsPet BirdsOther If "Other" then please state species Do you have any visiting animals (e.g. family/friends' cats and dogs)? If so , please give details
How active are you ? VeryReasonablyNot very How many hours do you expect to leave the dog alone on a regular basis in the long term? Will this be DaytimeEveningNight time How often? Are you planning any of the following? Moving House NoYes Holiday in the next few months NoYes
Be good with cats: Very ImportantQuite importantNot important Like other dogs : Very ImportantQuite importantNot important Be good with livestock: Very ImportantQuite importantNot important Like strangers: Very ImportantQuite importantNot important Be housetrained Very ImportantQuite importantNot important Enjoy being picked up/petted Very ImportantQuite importantNot important Like travelling in the car: Very ImportantQuite importantNot important
I need a dog that has already been trained. NoYes I am a first time dog owner: NoYes I have trained pets before NoYes I would enjoy training a dog NoYes I am an experienced owner and could train a difficult dog: NoYes Please give some information about your previous experience with dogs, including breeds you are used to (required):
All personal information supplied by you on this application form will be processed by the RSPCA Radcliffe Animal Centre (charity number 503759) whose privacy policy is available and published at: https://rspca-radcliffe.org.uk/privacy-policy/. This applies whether the information is supplied directly to the RSPCA Radcliffe Animal Centre as data controller, or whether it is shared with us by the National RSPCA (charity number 219099) or another RSPCA Branch as a joint data controller. The term RSPCA will refer to all data controllers within the RSPCA.
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