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)

    Do you have pets at present? (required)

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

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

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

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

    Do you own your own home? (required)

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

    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)

    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)

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

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

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

    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)

    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.