Dog adoption form Dog adoption form Personal Details Dog name * Your first name * Your last name * Email * Confirm Email * Phone 1 * Phone 2 (optional) Address * Address Address Address Address Address Address How many people live in your home? * Are any children living in your home? * Yes No What are their ages? About your home arrowup6 Accomodation. Are you * Home owner Renting (Private) Renting (Council ) Renting (Housing Association) How long have you been living there? * Do you have landlords written permission to have a dog on the property? * Yes No Do you plan on moving any time soon? * Yes No How secure is your back garden? (will the dog be able to get out) * Do you have any holidays booked/planned for the coming months? * Yes No If you are going on holiday, have you thought about where the dog will stay? Fill out the name and address of the veterinary clinic you use/will use * Are you aware of the cost in owning a dog? How much do you think it will be? Include vet bills, grooming, boarding kennels, etc. * About your family and pets arrowup6 Have you previously adopted from a rescue before? * Yes No Has everyone in the household discussed adopting a new pet? * Yes No Why are you looking for a dog? * Security Company Company for other pet Other Tick all that apply If Other, please explain Is anyone in your home allergic to animals? * Yes No Will someone be home during the day? * Yes No How long will the dog be left alone during the day? * Where will the dog sleep? * Where will the dog spend their days? * Do you have a dog now? * Yes No What kind of dog(s) do you have? Is your dog neutered? Yes No Did you have a dog before Yes No When did you last have a dog? Was that dog neutered? Yes No Do you have any other animals in your home? * Yes No Tell us a bit about them This dog is desired for a * Individual Couple Family Who will be ultimately responsible for the dog? * How and how often, do you plan to exercise your dog? * Are you willing to take a dog that needs training? * Yes No Do you plan to obedience train the dog? * Yes No How will you do this? What are you looking for in your new family member? * In the event of life changing circumstances, what plans would you put/have in place for your pets? * Is there anything else you would like us to know? The legal bits I understand that CSPCA is a non-profit registered charity.I understand an adoption fee of €200.00 is necessary for all dogs and pups to help offset costs incurred to rescue and care for each dog. The C.S.P.C.A strongly recommends that any pup adopted from us is neutered from the age of 6 months. Thank you so much for taking the time to fill this out, it really helps us to find the right companion for you! Do not forget to complete the paperwork by ensuring to bring proof of address, ID & a dog license on the day of collection, thank you. CAPTCHA If you are human, leave this field blank. Submit Adoptions are by appointment only. Once application is completed and sent to our team, contact will be made if you are suitable for the dog of interest or another dog in our care. Thank You Δ