Thank you for your enquiry about giving a rescued dog a good home. Please complete this form and return it to the Helper above, who will contact you to arrange a home visit. All our Helpers are volunteers, so may not be able to visit you immediately; however they will be in contact as soon as possible.

Before completing the form, please ask yourself honestly if you are in a position to give a rescue dog a space in your life. Rescue dogs often come with baggage and will need some time and patience to settle in and begin to trust again. Please remember that most dogs rescued will have no history with them and their past lives may have been abusive or neglectful. Are you fully prepared to help the dog learn to love again? Will you try to continue the training that our staff have begun and stick to it?

If you can honestly say yes to the above, then please continue……a dog needs you.

Your Details:

Home Telephone*
Work Telephone:
Mobile Number:
Email address*
Please leave this field empty.
Do you have your own transport?*
 Yes No
Do you have any holidays planned? If so please give dates*

Property Information:
What type of property do you live in?*
Is your property rented?*
If Yes, do you have proof of landlords permission:
Do you have a fenced garden?*
If yes how high is the fence?
Is the dog going to live*:
 House Garage Outside

Details of people living at the above address:
Number of adults (over 16)*
Number of children (under 16)*
Age of child one
Age of child two
Age of child three
Age of child four
For each adult please advise occupation and hours worked*
Do children visit regularly?*
If yes what are their ages?

Current & Previous Pets:
Have you had a dog before?*
If yes – what breed
Do you have any pets currently?*
Do you have any regular visiting dogs?
If yes please give full details:

Dog Preference  
(Please note when answering the following questions that broadening your options could determine the speed of getting your dog)
 I am interested in fostering I am interested in adopting

Would you prefer a:*

Please indicate minimum age*
Maximum age*
Would you consider taking two dogs
who have grown up together?*
Name of preferred dog
If you are looking to adopt and we are unable to find the right dog immediately, would you consider fostering short term?*
Please state your reasons for wanting a dog now and any other relevant information that you think may be useful*

Before submitting this form please think carefully: a dog is a lifelong responsibility. Financial commitment for food, care and veterinary costs will be your responsibility as soon as a dog is placed with you. We strongly recommend that you take out Pet Insurance to protect both you the dog and any Third Party.