Dog Application Form

PLEASE READ

  1. UNFORTUNATELY AT THE MOMENT YOU CANNOT COMPLETE THE FORM ON SOME iPHONES or iPADS.
  2. IF YOU DO NOT COMPLETE ALL FIELDS THEN YOUR FORM WILL NOT SUBMIT.
  3. YOU WILL BE SCREENED AND INTERVIEWED - INITIALLY BY THIS FORM AND/OR TELEPHONE AND THEN IN PERSON.
  4. YOU WILL BE HOME CHECKED AND/OR REQUIRED TO PROVIDE REFERENCES.
  5. ALL MEMBERS OF THE FAMILY AND ANY DOG(S) WHO LIVE IN THE HOUSE MUST COME TO MEET THE NEW DOG AND US OR OUR REPRESENTATIVE.
  6. IF YOU WANT TO ADOPT A PUPPY YOU WILL NEED TO PROVIDE INFORMATION ON TRAINING CLASSES IN YOUR AREA. ALL PUPPIES MUST ATTEND TRAINING CLASSES.
  7. FOR THE CONVENIENCE OF FOSTERERS PLEASE NOTE PAYMENT NEEDS TO BE PAID BY CHEQUE (WITH A GUARANTEE CARD), OR BANKERS DRAFT.
If at any stage in our adoption process we feel that the situation is not right for our dog, you may be turned down. OUR MAIN CONCERN IS FOR OUR DOGS!!!!!

PLEASE DO NOT APPLY FOR A DOG THAT IS MARKED AS RESERVED. SUBJECT TO A SUCCESSFUL HOME VET THAT DOG HAS ALREADY FOUND A HOME.

I have read the Adoption Procedures *.



*Name of dog you're interested in adopting.


*Breed of dog.


*Your Title:


*First Name:


*Surname:


*Address 1: Address 2:
Address 3: *Town:
*County:

*Post Code (Please fill in the first and second part of your full postcode):
  –  

Please put your mobile number if you have one even if you have bad signal or rarely switch it on as this is passed to the microchip company and may be vital if your pet goes missing and you are away from home.

Please give landline & mobile numbers although we will normally only call landlines.
*Telephone No (please put mobile if no landline) :


*Mobile No (please put landline if no mobile):


*Email:
If you dont have an email please write: 'no email' in the box

*Reason for selecting this dog:


*Please give the name, date and details of any dogs you have already adopted from Many Tears or the name of any dog you have applied for before or type none in the box.


*What type of property do you live in?
House
Bungalow
Flat
Mobile home
Barge/Boat House
Other

*Do you own or rent your home?
Own
Rent

*Please give details of your garden. What size is it? Is it secure?


*Is your back garden separate from your front garden?


*Do you have a communal garden or does anyone have access to the garden other than you and your family?


*What is the height of your fencing at its lowest point?


*Do you have a pond? If yes, please give depth.


*Do you have a dog kennel/run in your garden?


*How many adults live in your household?


*Please give the ages of all the adults who live at the property


*Please give the occupation and work hours of all adults living in the property.


*Please give the ages of any children living in the property or type none in the box.


*How many hours in any one day would a dog be left?
Up to 1 hour
Up to 2 hours
Up to 3 hours
Up to 4 hours
Up to 5 hours
More than 5 hours

*How many times a week would a dog be left for the time selected above
1 day a week
2 days a week
3 days a week
4 days a week
5 days a week
More than 5 days a week

*What other animals currently live in your house. Please include breed, sex and age of animals.


*If you already own dogs/cats are they all spayed/neutered?
Yes
No
Not applicable

*Are all animals you own inoculated annually & will you continue to inoculate the dog you want to adopt? You will be asked to provide proof your dogs are currently inoculated when you collect the dog. If your answer to this is no please explain.


*What dogs have you owned in the past?


*How many times a day would the dog be walked and how long would each walk last?


*Where would the dog be sleeping?


*Are there exercise areas nearby? (Parks, beaches, fields etc)


*If adopting a puppy I agree to have it spayed/neutered by the time it is six months old
Yes I agree
No I don't agree
Not applicable

*Please give the name, address and telephone number of your vet or the vet you will be taking the dog to


*Will you have insurance for your dog or pay as you go?


*If adopting a puppy, please give details of your training intentions, e.g. details of training classes you would attend. If you are not adopting a puppy please enter Not Applicable.


*Please confirm that you have no holidays booked in the immediate future and that you will be able to collect the dog you've applied for within 3 days of passing your home vet.


*Please tell us how you found out about Many Tears. For example, search engine, link from another site (please say which), recommeded etc.



*Please add any other information you think may be helpful in your application here or type no other information.


*I understand that all members of the family and any dog who will be living with the dog I want to adopt MUST come and meet the dog prior to adoption.
Yes

*I understand the adoption fee for a dog is £200.
Yes

* I agree that the adoption fee will be paid in full at the time of adoption and if the dog is in foster will be paid by cheque (with a guarantee card), or bankers draft. We do not accept payment by card.
Yes I Agree

* Have you ever had a conviction for a criminal offence involving cruelty, violence or the threat of violence to people or animals or criminal damage or been convicted criminal offence which has resulted in you having to leave your profession? (You do not need to include driving offences here)
Yes
No


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   Please tick here if you would prefer NOT to be contacted by post or telephone with regards to receiving updates and other information from the organisations which support MTAR

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