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| Please complete form on a computer and not a Smart Phone, as it will not work correctly.
Thank You. |
Contact Information |
| Given Name * |
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| Surname * |
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| Phone No Day |
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| Daytime telephone number |
| Phone No Night |
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| Evening / Night time telephone no |
| Email Address * |
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| Mobile No |
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| Address (Please include Postcode & Council) * |
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| Address where dog will be housed (Please include Postcode & Council) |
| Postal Address |
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| Postal Address (if different to above) |
| Adoption for * |
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| Who are you adopting the dog for? |
| Adopt other |
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| If another person, name of person |
Dog Information |
| Dog name * |
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| Which dog are you hoping to adopt? |
| Reason * |
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| Please provide some information on why you would like to adopt and why you think this dog will be right for you. |
Employment |
| Employed * |
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| Are you currently employed |
| Type of Empl. * |
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| Type of employment |
| Other Employment |
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Exercise, Activities & Characteristics |
| Exercise |
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| How much exercise would you and your dog enjoy together? |
| Activites |
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| What weekend activities would you expect to enjoy with your dog? |
| Good Characteristics |
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| What are the characteristics you most look for in a dog? |
| Bad Characteristics |
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| What are the characteristics you would least like in a dog? |
Experience |
| Previous pets * |
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| Have you had pets previously in your adult life? |
| Other pets * |
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| Do you currently have any other pets |
| Other pets |
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| If yes, please give details of current pets |
| Dogs vaccinated |
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| If you have dogs, are their vaccinations up to date?
A copy of current vaccination certificate may be required. |
| Socialisation |
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| How do your current pets get along with other animals? |
| Training |
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| Have you had previous experience in any of these? |
| Obedience club |
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| If yes to Obedience Classes, please provide the name of the club. |
Living Arrangements |
| Occupants |
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| Please provide the names and ages of the regular occupants of the household. |
| Allergic |
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| Is anyone in the household allergic to animals |
| Allergy info |
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| If yes, please provide details |
| Carer |
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| Who will generally be responsible for the care of the dog. |
| In Agreement |
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| Is everyone in the household in agreement about adopting a dog. |
| Home ownership |
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| Do you own or rent your home? If renting, a written letter of approval from the Landlord must be provided. |
| Fencing |
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| What kind of yard and fencing do you have? |
| Daytime location |
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| Where will your dog be during the day? Inside or Outside and what type of shelter is provided if outside ? |
| Night location |
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| Where will your dog be located at night? Inside or Outside and what type of shelter is provided if outside ? |
| Building type |
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| What type of building do you live in? |
| Building other |
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| If Other, please explain |
| Inspection |
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| Are you happy for us to conduct a yard check? |
| Holidays |
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| How will your dog be cared for when you go on holiday? |
Health, Care and Expenses |
| Expenses |
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| Are you aware of, and prepared for the ongoing costs involved with Dog ownership? Expenses can include: yearly vaccinations, food, worming, flea treatments and unexpected Vet bills. |
Additional Information |
| Rehome pet |
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| Have you ever had to rehome or give away a previous pet? |
| Rehome info |
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| If yes, please explain |
| Current vet |
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| If relevant, please provide your current Vet's name |
| - Address |
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| - Phone |
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| Vet for this dog |
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| Will this be the vet for this dog? |
| Alternate vet |
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| If no, please provide the details of the proposed vet. |
| - Address |
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| - Phone |
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| Updates |
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| If you adopted from us, would you be willing to provide occasional updates (emails and/or photos) as to how your pet is adapting to life with you? |
| Comments |
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| Any further comments you would like to include? |
| Where you Heard of YP Puppy Rescue |
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| Please advise where you heard about YP Puppy Rescue. |
Declaration |
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| By submitting this questionnaire, you agree that ALL the information you have provided is correct.
You understand that providing untruthful answers or failure to comply with the requirements of this application can result in the refusal of this adoption.
You understand that in some instances a property check will be required.
We reserve the right to refuse any applicant.
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| Anti Spam |
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| Please type in the letters listed in Bold. |
| If you do not receive a confirmation email shortly, once you hit submit, your application has not been processed correctly, please contact our admin team or check the above data. |
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