Dog Application Form

I have read the Adoption Procedures and Privacy Policy *

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 your full postcode)*

Invalid 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

If you rent your home do you have your landlord's consent to adopt this dog? You will need to provide proof of this by emailing a copy of your agreement to info@manytearsrescue.org as soon as possible. Please put the name of the dog you are applying for in the email along with your name and postcode *

Yes
No
Not applicable

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*

If you work shifts please provide us with the number of hours each adult in the home work each day along with working schedules for the next 3 weeks. If this does not apply to you please put N/A in the box*

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

If you've answered no to the above question, please give the reason why your dog(s)/cat(s) are not neutered*

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.*

Other - (where else did you hear about us?)*

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 have read and understand the adoption fee and agree this will be paid in full at the time of adoption. If the dog is in foster the adoption fee will be paid by cheque (with a guarantee card). 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

If you have answered Yes to the above question please give brief details.*

Not Applicable

Your privacy is very important to us and we always keep your information safe. Please tick here to give us your consent to store your personal details to enable us to contact you regarding your application via email or by phone and to be able to process your application form. As part of the application process we may need to share your details to a fosterer, volunteer or home checker in order for us to complete the adoption process.

Following a successful adoption we will need to share your details to register a dog's microchip and may need to pass your details to a behaviourist or other volunteer within our organisation. By ticking this box you are allowing us to do this.

Verification Code*

Dog Application Form

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