Adoption Form

Please use the form below to apply to adopt one of our dogs.

Please note: ALL FIELDS are mandatory. Your application may not be processed if you do not answer all of the questions.

 

Phone Number (required)

Address (required)

Name of the Dog You're interest in (required)

Have you owned a dog before? (required)
YesNo

Do you have pets at present? (required)
YesNo

If you answered yes to the above, please give details.

If you have other pets, are they neutered/spayed?
YesNoNA

Are you prepared to have you new dog insured? (required)
YesNo

What kind of property do you live in? (required)
HouseFlat

Do you own your own home? (required)
YesNo

If you answered no to the above, can you provide written permission to keep pets?
YesNo

Do you have a garden, if so approximately what size? (required)

If you have a garden, is it enclosed and how big are the fences?

Do you live by a busy road? (required)
YesNo

How many hours per day will the dog be exercised? (required)

What kind of training can you offer the dog and will you take it to classes if needed? (required)

Where will the dog sleep at night? (required)

What arrangement will you make for the dog if you go on holiday? (required)

Do you have any holiday commitments in the next six weeks? (required)
YesNo

Do you have anyone else living with you? (required)
YesNo

Do you have children and if so, how old are they? (required)

Does anyone in your house suffer with pet allergies? (required)
YesNo

What is your employment status? (required)
Employed (Full time)Employed (Part time)UnemployedRetired

If you work, approximately how many hours per day?

What is the employment status of other members of your household? (required)
Employed (Full time)Employed (Part time)UnemployedRetiredNA

How many hours per day will you leave the dog alone (we recommend a max. of four) (required)

Would you be willing to have someone come and do a home check? (required)
YesNo

How did you hear about Rocky's Rescue? (required)

If your application is accepted we make use of independent home checkers to assess the suitability of your home to take on one of our dogs. Please tick here to confirm that you are happy for us to pass your details on to the home checkers.
Check here if you accept these terms.