Adoption Form

Adoption Application Form

Please note that all adoptions are subject to a non-refundable adoption donation

Name

First

Last

Date of birth

Please upload photographic ID and a recent utility bill

Drag & Drop Files, Choose Files to Upload You can upload up to 4 files.

Address

Address Line 1

City

State / Province / Region

Postal Code

Contact number

Please note we will always contact you initially by email. Please add hello@ukspanielrescue.co.uk to you safe sender’s list

No. of adults in your home

No. of children under 16 in your home

Please give ages

Do you have any visiting children (under 16)?

Please give details

What is your surrounding area like?

Include proximity to main roads, parks, schools etc.

Do you have any holidays booked? If yes, please give details

Do you/your partner work?

If yes, please specify days/hours worked

Have you owned a dog before?

Have you owned a Spaniel before?

Do you currently own any dogs?

If yes, please give breed, age, sex of dog and if they are neutered

Do you have any other pets?

If yes, please give details

Please describe your experience with dogs in general

Have you ever had to give up a dog? If yes, please give details

Where 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 hours

What 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?

How 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

If you are already registered with a vet, please give details

hours? in before?

Please 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

Signature

Clear Signature

Date

Where did you hear about us?

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Save and Resume Later

I agree that:

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