Adoption Form

PLEASE NOTE:

Due to the high volume of applications, we are now ONLY taking applications for those SPECIFIC DOGS in our rescue that need rehoming.
Please state on the form WHICH OF OUR DOGS you are looking to adopt.
We currently have a very long waiting list of applicants who will get priority when we have a match.
It is advised you read through the form before completing.

THANK YOU FOR YOU READING .

adoption form

* Indicates required field

Please provide the name of the dog you are interested in. *

Name *

First

Last

Address: *

Post Code *

Phone Number *

Email Address *

Year Of Birth *

What type of accommodation do you live in? *

Location of accommodation *

How long have you lived in your current address? *

Is your house rented or owned? *

If rented, can you provide evidence your landlord permits dogs at the residency? *

Do you have plans to move home in the next 12 months? *

If yes, please provide details *

Please list NAMES of ALL those who live in the home? *

Please state residents relationship to applicant & their ages *

Are the above residents aware of your application and in support? *

Do children visit the property? if so, what are their ages? *

Is a new baby due or planned in the next 12 months? *

Are any of the house members allergic to dogs? *

Do you or any other residence have any long term illness? *

If yes, please provide details *

Occupation *

Hours Worked *

Are you or any other applicants likely to change jobs in the next six months? *

What size is you garden? *

Is your garden private or shared? *

Is your garden fully secure? *

How high are the boundaries? (in feet) *

Are there any gates? Are they secure? *

Has anybody in the home been previously or currently banned from keeping pets? *

Name and Address of the Vet Practice you would use *

Do you have any holidays planned in the next 12 months? *

What would you do with your dog if you were going on holiday? *

Which members in your household would exercise the dog? *

How often would you walk the dog? *

Where would your dog sleep at night? *

Where would your dog be kept when you're not at home? *

How many hours a day would your dog be left alone for? *

Would you consider day care or dog walker for the times you are not at home? *

Are there any resident dogs in your home? *

If YES, please specify their breed, gender, ages of each and how long you have owned them, and kindly confirm if they are vaccinated/ neutered/ flea & worm treated *

Is your dog(s) well socialised with other dogs? *

Do you have any other pets? (please list) *

Are you able to separate pets if needed? *

Are you happy to use a dog crate if needed? *

Do any other dogs visit your home regularly? If yes, please give details. *

Do you have a preference of age/sex/breed of dog, and why? *

Would you consider a dog with medical issues? *

Would you consider a dog with behavioural problems? *

Would you be prepared to attend dog training or socialisation classes if necessary? *

If yes please tell us who you would use? *

Do you have your own transport? *

How far are you prepared to travel for the right dog? Please note: We are based in Coventry. *

Have you applied to any other rescue organisation, either in the past or currently? *

If yes, please name the organisation and advise the outcome (i.e. successful or not) *

What is your experience with dogs, past and present? (i.e. breeds owned, training etc.) *

What is your reason for wanting to adopt a dog? *

Are you aware of the cost involved of adopting a dog? (i.e. feeding, insurance, veterinary care) *

Would you like to add any personal comments in support of your application? *

If your application and homecheck are successful, we will ask you to provide a reference if reserving one of our dogs. Please provide their full name and contact details here *

Please confirm you are happy to travel to Coventry West Midlands to meet our dogs - Please note we require at least 2 visits with our dogs. *

By clicking with box, the applicants hereby confirms that all the information provided is truthful. *

Confirm

I/ we have read and understood the above information *

Confirm

Submit

Are you interestED in adopting one of our rescue dogs?

Our adoption donation is between £250 - £350 which is payable as follows:

£25.00 Reservation Fee - Paid after Homecheck (Only if successful & going ahead with adoption)
The remainder to be paid on the day of adoption.

All of our rescue dogs go to their new home with the following:

A Food Starter Pack From Oscars or IAMS
Lead & Collar
Toys and treats
Bedding
4 Weeks Free Insurance from PETPLAN or 5 weeks free with AGRIA PET INSURANCE

Our dogs are normally castrated/spayed prior to adoption, however, if this is not done (for various reasons) our contract states it must be done at the first available opportunity once adopted.
The rescue will contribute £100 towards a spay and £75 towards castration. We will discuss with adopter which vets will perform the surgery and pay that vet directly on the day.
All of our dogs are microchipped & up to date with all their vaccinations, flea and worm treatments.
* The rescue will change microchip ownership details within 24hrs of adoption free of charge.

What is a 'homecheck'

A homecheck involves a visit to your home to discuss which dogs would be suitable for your family & environment. We will also do a home/garden check & give any necessary advice in support of your application.

Ways to pay

PAYPAL
sukiscaninerescuecrew@gmail.com
Note:
PLEASE choose the friends and family option, not goods.

BANK TRANSFER
Bank Account - Nat West
Sort code:- 56-00-45
Account Number:- 31409156

Adopt a dog today

adoption form

Are you interestED in adopting one of our rescue dogs?

What is a 'homecheck'

Ways to pay