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.
ABOUT YOU 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
A LITTLE BIT ABOUT YOUR HOME 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
A LITTLE BIT ABOUT YOUR FAMILY
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
A LITTLE BIT ABOUT YOUR LIFESTYLE 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? (once you return to work and other activities post Covid-19) Will this be DaytimeEveningNight time How often? Are you planning any of the following? Moving House NoYes Holiday in the next few weeks NoYes
YOUR IDEAL DOG WOULD: 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
YOUR EXPERIENCE 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:
The safety of our staff and visitors is RSPCA Radcliffe Animal Centre's top priority. To prevent the spread of COVID-19 and reduce the potential risk of exposure to our staff and visitors, we are conducting a simple screening questionnaire. Your participation is important to help us take precautionary measures to protect you and everyone on this site. Thank you for your time.
Have you, or any other visitors, had close contact with or cared for someone diagnosed with COVID-19 within the last 14 days? NoYes
Have you, or any other visitors, experienced any cold or flu-like symptoms in the last 14 days (to include fever, cough, sore throat, respiratory illness, difficulty breathing)? NoYes
Please advise us if you are considered clinically vulnerable and are currently still shielding. This is so we can discuss the safest options available in terms of how we proceed with the adoption of an animal. NoYes
All personal information supplied by you on this application form will be processed by the Royal Society for the Prevention of Cruelty to Animals whose privacy policy is available and published at: www.rspca.org.uk/privacy or on request by calling Supporter Services on 0300 123 0346. This applies whether the information is supplied directly to the national RSPCA (charity number 219099), as data controller, or is shared with us by an RSPCA Branch (a separately registered charity) as a joint data controller. The term “RSPCA” will refer to both data controllers.
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