Dog Adoption Form

Perfect Match
Application to adopt a dog

Thank you for wanting to adopt a dog from us. We just need to get a few details so that we can find a suitable animal for you. Please answer as honestly as you can so that we find the best match.

    ABOUT YOU
    Title
    Surname
    First Name
    Address
    Postcode
    Email
    Telephone

    YOU ARE INTERESTED IN:

    Size of dog:
    Small ( e.g. Terrier)Medium ( e.g. Staffie)Large (e.g. Labrador)
    Age of dog:
    PuppyLess than 2 years2-5 years5-8 years8 years +
    Gender of dog:
    EitherMaleFemale
    Any further details on what type of dog you are looking for:

    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 :

    Be good with livestock:
    Very ImportantQuite importantNot important
    Like strangers:

    Be housetrained
    Very ImportantQuite importantNot important
    Enjoy being picked up/petted
    Very ImportantQuite importantNot important
    Like travelling in the car:

    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

    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

    Is anyone in your household shielding or been identified as clinically vulnerable?
    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.

    Whilst every care is taken to find the right dog for you, we cannot guarantee the future health and behaviour of any animal.

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