Adoption form Adoption Application FormPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Please note that all adoptions are subject to a non-refundable adoption donation What dog would Please select the title that best suits you *MrMrsMissMsOtherName *FirstLastDate of birth *Identification documents As part of our assessment, we need to confirm your identity and current address. Please do not upload identification documents to this form or send them by email or WhatsApp. Please use our secure ID submission form instead: Submit Your ID Securely → You can complete this from your phone or computer. Address *Address Line 1CityState / Province / RegionPostal CodeAre you aware that at least one meet & greet is required prior to adoption? This may require travelling some miles (with your current dog if you have one) *Yes, this would not be a problemYes, but we would not be able to do thisContact number *Email *Please note we will always contact you initially by email. Please add hello@ukspanielrescue.co.uk to you safe sender’s listWhat is your preferred method of contact? *EmailSMSPhone callWhatsAppWhen is the best time to contact you? *MorningAfternoonEveningAnytimeNo. of adults in your home *No. of children under 16 in your home *Please give agesDo you have any visiting children (under 16)? *Please give detailsDo you, or does anyone in your home, smoke/vape? *Please give detailsDo you own or rent your home? *OwnRent – Housing AssociationRent – PrivatePlease note, if you are in rented property we will need to see permission to own a dog from your landlordHow would you describe your home location? *RuralTownCityOtherWhat kind of home do you live in? *HouseBungalowFlatOtherDo you have a fully enclosed garden? *YesNoDoes it have a lockable gate? *YesNoIs it surrounded by secure fencing? *YesNoHow high is the fence at its LOWEST point? *What is your surrounding area like? *Include proximity to main roads, parks, schools etc.Do you have any holidays booked? If yes, please give detailsDo you/your partner work? *If yes, please specify days/hours workedHave you owned a dog before? *YesNoHave you owned a Spaniel before? *Do you currently own any dogs? *If yes, please give breed, age, sex of dog and if they are neuteredDo you have any other pets? *If yes, please give detailsPlease describe your experience with dogs in general *Have you ever had to give up a dog? If yes, please give details *Would you prefer *DogBitchNo preferenceWhat age would you prefer? *0 – 3 years4 – 6 yearsSenior (7+ years)No preferenceWhat is your preferred Spaniel breed(s)?Please give detailsAre you applying for a particular dog?If yes, please give nameIf your chosen dog is no longer available, would you like to be considered for a different dog? *YesNoMaybeWhere would the dog sleep? *On average, how many hours per day would the dog be left alone for? *We don’t place dogs in homes where they will be left for more than 4 hoursWhat specific arrangement would be made if you had to leave the dog for more than 4 hours? *What arrangements would be made for the dog while you are on holiday? *If the dog was left alone, would it have *Run of the houseKept in one roomCrateKennelOtherHow much exercise would the dog get per day? *Where would you exercise the dog? *What would you do if the dog behaved unacceptably? *Please describe the lifestyle the dog would have *Are you prepared to put in extra training *YesNoNot sureSome dogs will need extra training when they come to usDo you intend to put insurance in place for veterinary care *YesNoNot surePlease state the behaviours you will not consider *Excessive barkingDog aggressionCat aggressionHuman aggressionFear aggressionGuarding issuesDiggingSeparation anxietyGeneral anxietyBiting/nippingChewingPlease state the behaviours you have previously dealt withExcessive barkingDog aggressionHuman aggressionFear aggressionGuarding issuesSeparation anxietyGeneral anxietyBitingDestructive behaviourPlease state the attributes a dog SHOULD have *Good with other dogsGood with catsGood with childrenHouse trainedCrate trainedIf you are already registered with a vet, please give detailsPlease include any other information you think is relevant to help us find the right match for you *I agree that: I am happy to be screened and interviewed via email/telephone/in person I am happy to have a home visit I can provide references Everyone in my household, including other dogs, will come to meet the new dog I understand that is at any stage in the adoption process requirements aren’t met, we may be turned down for adoption or a particular dog I am happy for my address to be passed on to a UK Spaniel Rescue volunteer for the purposes of carrying out a home visit UK Spaniel Rescue will hold my application for 6 months from the receipt of my application. After this, all unfulfilled applications will be deleted and I will have to reapply In accordance with the Data Protection Act 1998. I agree that UK Spaniel Rescue may hold and use the information about me contained in this application on both manual and computer files. I understand that it will not be shared with any other organisation unless for the purposes as stated above. Please note that should your application be successful, there will be a follow up home visit after approximately 6 months to see how you and your new family member are getting along. Signature Clear Signature Date *Where did you hear about us? *Check out our FAQs page ©UK Spaniel Rescue 2024 Copyright Notice Submit
