Adoption form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Adoption Application Form Please select the title that best suits you *MrMrsMissMsOtherName *FirstLastDate of birth *Please note that photographic ID will be required to process your application. We cannot proceed without this.File Upload * Click or drag a file to this area to upload. Please upload a copy of your driving licence or passportAddress *Address Line 1Address Line 2CityState / Province / RegionPostal CodeContact number *Email *What 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 *Do you have any visiting children (under 16)? *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? *HouseBungalowFlatOtherWhat is your surrounding area like? *Include proximity to main roads, parks, schools etc.Do 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? *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 detailsDo you have any other pets? *If yes, please give detailsPlease describe your experience with dogs in general *Would you prefer *DogBitchNo preferenceWhat age would you prefer? *0 – 3 years4 – 6 yearsSenior (7+ years)No preferenceWhat is your preferred breed(s)?Please give detailsAre you applying for a particular dog?If yes, please give nameWhere 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 arrangements would be made for the dog while you are on holiday? *What specific arrangement would be made if you had to leave the dog for more than 4 hours? *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? * applying us you 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 *The small print *I can confirm that the details given above are true and correct and accurate to the best of my knowledge and that failure to disclose all relevent details could affect my suitability to adopt a UK Spaniel Rescue dogI understand that UK Spaniel Rescue reserves the rights to refuse to allow me to adopt/foster a dog if UK Spaniel Rescue feels that I would not be able to meet the dog’s needsI agree that *I am happy to be screened and interviewed via email/telephone/in personI am happy to have a home visitI can provide referenceEveryone in my household, including other dogs will come to meet the new dogI understand that if at any stage in the adoption process requirements aren’t met, we may be turned down for adoption or a particular dog.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 reapplyIn 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 organisationIn 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 Please type your name as your digital signature *Date *Submit
