Dog Pre Adoption Application

PLEASE COMPLETE FORM AND MAKE SURE ALL BOXES & CHOICES ARE COMPLETED,
IF NOT IT MAY NOT COME THROUGH.
Just type over the If Applicable (if needed) and or Please Advise as we have made sure that all boxes are completed by default with the blank ones mandatory. Thank You.

* = Mandatory Fields

Contact Information

Given Name(*)

Please add a value for Name.

Surname(*)

Please add a value for Surname.

Daytime Telephone Number

Evening / Night Time Telephone Number

Email Address(*)

is not a valid e-mail address.

Mobile No

Address where animal will be housed (Please include Postcode & Council)(*)

Please add a value for Address.

Postal Address (if different to above)

Who are you adopting the animal for?(*)

Myself

Another person

Please add a value for Adoption for.

If another person, name of person

Animal Information

Animals name - Which animal are you hoping to adopt?(*)

Please add a value for Dog name.

Reason - Please provide some information on why you would like to adopt and why you think this animal will be right for you.(*)

Please add a value for Reason.

Employment

Are you currently employed(*)

Yes

No

Please add a value for Employed.

Type of Employment(*)

Other Employment

Exercise, Activities & Characteristics

How much exercise would you and your dog enjoy together?(*)

I'm a jogger - daily runs suit me

I like to walk for fitness - but I'm no athlete

I prefer to stroll to the local shops

I'm looking for a animal that enjoys the comforts of home

What weekend activities would you expect to enjoy with your dog?

What are the characteristics you most look for in a dog ?

What are the characteristics you would least like in a dog ?

Experience

Have you had pets previously in your adult life?(*)

Yes

No

Please add a value for Previous Pets.

Do you currently have any other pets(*)

Yes

No

Please add a value for Other pets.

Other pets - If yes, please give details of current pets

Animals vaccinated - If you have animals, are their vaccinations up to date? A copy of current vaccination certificate may be required.(*)

Yes

No

N/a

Socialisation - How do your current pets get along with other animals?

Training - Have you had previous experience in any of these?(*)

Puppy Preschool

Obedience Classes

House Training

No

If yes to Obedience Classes, please provide the name of the club.

Living Arrangements

Occupants - Please provide the names and ages of the regular occupants of the household.(*)

Is anyone in the household allergic to animals(*)

Yes

No

Allergy info - If yes, please provide details

Carer - Who will generally be responsible for the care of the animal.(*)

Is everyone in the household in agreement about adopting an animal.(*)

Yes

No

Do you own or rent your home? If renting, a written letter of approval from the Landlord must be provided, within 1 week from the date of this application, or the application will be withdrawn.(*)

Own/Buying

Renting

What kind of yard and fencing do you have?(*)

Where will your animal be during the day? Inside or Outside and what type of shelter is provided if outside ?(*)

Where will your animal be located at night? Inside or Outside and what type of shelter is provided if outside ?(*)

What type of building do you live in?(*)

If Other, please explain

Are you happy for us to conduct a yard check?(*)

Yes

No

How will your dog be cared for when you go on holiday?(*)

Health, Care and Expenses

Are you aware of, and prepared for the ongoing costs involved with Animal ownership? Expenses can include: yearly vaccinations, food, worming, flea treatments and unexpected Vet bills.(*)

Yes

No

Additional Information

Have you ever had to rehome or give away a previous pet?(*)

Yes

No

If yes, please explain

If relevant, please provide your current Vet's name

Address

Phone

Will this be the vet for this animal?(*)

Yes

No

N/A

If no, please provide the details of the proposed vet.

Alternate Vet's address

Alternate Vet's Phone Number if applicable.

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?(*)

Yes

No

Any further comments you would like to include?

Please advise where you heard about YP Puppy Rescue.

Anti Spam (Please Tick) Box next to I'm not a robot(*)

Invalid Input

Declaration

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.

Dog Pre-Adoption Questionnaire