Adoption Application What kind of pet are you interested in? What kind of pet are you interested in? *DogCatRabbitGuinea PigOther What is the pet's name? What is your first name? What is your surname? Please tell us your full address Postcode What is your phone number? What is your email address? Have you had pets before? Have you had pets before? *YesNoAs A Child If Yes, please provide as much information as possible, including type, age, if they are neutered/vaccinated Do you currently have any pets? Do you currently have any pets? *YesNo If yes, what pets do you have? If yes, are they: If yes, are they: Neutered Vaccinated Insured Where are your pets kept during the night? Which vets do you currently use? How many adults live at home? What are their ages? Do you have children living at home? Do you have children living at home? *YesNo What are the ages of all the children living at home? Do you have children visiting your home? Do you have children visiting your home? *YesNo What are the ages of all of these children? Do all adults living in your home consent to having new pets? Do all adults living in your home consent to having new pets? *YesNo Are you, or any member of your family, allergic to pets? Are you, or any member of your family, allergic to pets? *YesNo If Yes, please give full details: Is someone home for most of the day? If you work, will your hours be changing soon or in the future? Are you planning on getting a new job soon or in the near future? Are you planning a holiday soon or in the near future? Are you planning a family soon or in the near future? Are you planning a family soon or in the near future? *YesNo Is your home owned or rented? If you live in rented accommodation we need sight of your landlords permission to own pet. Is your home a: Is your home a: *HouseFlatOther If other, please specify: How long have you lived here? Do you have a yard or garden? Is your garden for your use only or shared? How high is your garden fence/wall? Have you considered the cost outlined above of owning a pet? By submitting this form I agree to the terms and conditions: By submitting this form I agree to the terms and conditions: Please tick before submitting the form 11 + 4 = Submit
