Pigture Perfect Dog Adoption Application

Woodhaven Second Chance Rehoming

Adoption Application
Woodhaven Second Chance Rehoming, AKA Woodhaven Boarding Kennels and Cattery, is Based in South Milford, Leeds LS25 5BX. We are the contracted Selby District and Leeds City Council stray holding kennels. We also take in dogs needing help, every dog gets the best of care. Every dog rehomed will be spayed or neutered have first and second vaccinations, will be microchipped, flead, wormed and insured for 5 week with Agria which is free of charge. £50 deposit is required when reserving your dog, £25 of which is non refundable and will be to cover administration costs. Our standard adoption fee is £450. The first two weeks of adoption is classed as your cooling off period, if within the two weeks you decide to return the dog to us you will receive a full refund minus the £25 nonrefundable deposit.
Please complete the below questionnaire. All potential adopters are to complete the form in order for us to process your application. Please be advised, the dog you are applying for may have meetings booked before your interest was registered, this meaning the dog may no longer be available, please check our facebook page for information on dogs that have been reserved or adopted. Unless a reservation is placed on a dog it is still available for futher viewings with other potential adopters. A dog can not be reserved without a meeting. Woodhaven reserves to right to refuse any application.
Name of the dog you are interested in:*
Are you aware that there will be an adoption fee associated with the dog you are applying to adopt? Are you prepared to make the adoption fee payment, in full, prior to finalizing the adoption and taking the dog home?*

YesNo
Are you able to start the adoption process immediately? PLEASE NOTE, as we are a stray holding kennels we need to have available kennelling for new strays arriving meaning we have to make sure adoptions are completed quickly and efficiently therefore we are unable to kennel an adopted or reserved dog for an extended period of time.*

YesNo
Do you or anybody living at your address have any current or previous convictions relating to the adoption process, this included ANY animal or assault charges*

YesNo
Applicant Information
Applicant's full name:*

Your age:*
Co-Applicant's full name (if living in same household as Applicant):*
If there is only one applicant please type N/A
Your age:
Street Address:*
Postcode:*
Applicant's Phone:*

Area CodePhone Number
Co-Applicant's Phone:

Area CodePhone Number
Applicant's E-mail:*
Applicant's Employment Status and hours:*
Co-Applicant's Employment Status:
1) Character reference and phone number:*

I declare all the above information is true and correct to the best of my knowlege. I understand that during the meeting of the animal, Woodhaven staff will make you aware of any previous undesired behaviours, and it is your responsibility to take this information into account when deciding on an animals suitability, and behaving in a suitable manner around the animal with the information given. On taking the animal away from woodhaven, including while on a trial walk, you are accepting you are confident and adequently experienced to deal with behaviours explained to you and that there is risk of injury from any animal regardless of breed of species. I understand that i assume full responsibility for the welfare of this pet from the date of adoption, and that every animal adopted from Woodhaven has undergone a thorough health check before adoption, any ongoing illness or injury present at the time of adoption is the sole responsibility of the new owner. Please date below as way of confirmation.
Signature

Powered by Jotform SignClear
Date*

DayMonthYear
HourMinutesAM/PM Option
Thank you for taking the time to complete this adoption application, we will be in contact ASAP.
Should be Empty:

Woodhaven Second Chance Rehoming

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information