Adoption form Please 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 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 photographic ID and a recent utility billAddress *Address Line 1CityState / Province / RegionPostal CodeContact number *Email *Facebook linkIf you have Facebook, we will invite you to a private group for our adopters where you will have access to training videos and material and will be able to ask our behaviourists questionsWhat 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 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 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 * match have 4 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 type your name as your digital signature *Date *Where did you hear about us? *Submit
