Dog Adoption Application Form

    Name(s) of the dog(s) you are interested in:
    Your Name:
    Street Address:
    City:
    ZIP/Postal Code:
    Country:
    Your Email:
    Telephone:
    Date of Birth:
    Occupation:
    Possible airports for collection:

    Why are you interested in adopting a companion animal?

    For whom are you adopting a dog?

    How many people live in the household and how old are they?

    Will the dog be in the presence of small children?
    YesNo

    Primary caretaker of the dog:

    Responsible person in case of absence:

    Describe your home:

    Describe your local neighbourhood:

    Do you own a car?
    YesNo

    If you have a garden, is it securely fenced?

    Willing to toilet train the dog?
    YesNo

    Steps to address behavioral problems:

    Will you take training classes?

    Do you have other animals at home?

    Previous dog ownership experience:

    Considered all extra expenses for owning an animal?
    YesNo

    Exercise routine for the dog:

    Do you have a dog walker?
    YesNo

    What will you use to walk your dog?

    Hours the dog will be left unattended:

    Where will the dog stay when you are at home?

    Where will the dog stay when you are out?

    How often do you travel?

    What will you do with the dog when you travel?

    If you move, what will you do with the dog?

    What kind of personal situation could lead you to give up your adopted dog?

    Have all ADULT family members agreed on the adoption of this dog?
    YesNo

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