Roscommon SPCA CLG Dogs Inquiry Form

This inquiry is for?

Name of Dog you are inquiring about?*

Where did you see the dog advertised?*

	Tick Relevant Box
Facebook
Roscommon SPCA Website
ISPCA Website
Word of Mouth

Do you have experience of dogs?*

A home visit will be carried out, are you ok with this?*

Name

First NameLast Name

Address including Eircode*

Eir Code*

Phone Number*

Email Address*

Please confirm Email Address*

Name, Address & Phone number of your Local Veterinary Practice.*

If application successful, we may ask your Local Veterinary practice for a reference, is this ok with you?*

Answer YES or No

INFORMATION REQUIRED*

	YES	NO	DAYTIME	NIGHT TIME	SOMETIMES
Are you looking for an indoor dog?
Dog Pen
Dog Crate
Garage
Will your dog be allowed indoors
Will the dog be allowed to roam free?
If you have children, how old?
Are you looking for an outdoor dog?
How many hours will the dog be alone?
Is your home rented?
Is the garden secure?
Can a dog escape?
Do you have other animals?
Can you provide proof of ID?
Can you provide proof of address?
Anyone with allergies?
Do you have Children?
How old are the Children?

If you have other animals, what have you got?*

Are you aware there is an adoption fee of €150.00?*

	Answer
Yes
No

If your home is rented, do you have permission from the landlord to have a dog? and can you provide proof to allow animals?*

Why do you want to adopt a dog?*

Any other information to add or questions to ask?*

Is everyone in the household in agreement to getting a dog?*

Please give careful consideration to adopting an animal.

Animals are not toys or short-term commitments.

Ensure your lifestyle allows the time, patience and expense this animal will need over the years.

MAKING THE RIGHT CHOICE

We make no apologies for the fact that we are very thorough in our rehoming process and we will turn a home down if we do not feel it is right for the animal concerned. We will therefore only rehome into situations where we feel completely comfortable with a particular animal. The decision of Roscommon SPCA CLG is final and no discussions will be entered into.

DATA PROTECTION STATEMENT

Collection and use of personal information

Roscommon SPCA CLG does not collect personal data about you on this website, apart from information about which you volunteer (for example by filling out an online application form). Any information that you provide in this way is not made available to any third parties and is used by Roscommon SPCA CLG only in line with the purpose for which you provided it. All inquiry forms, if not successful will be deleted from our computer. Roscommon SPCA CLG keeps information on all animals rehomed. After a period of 10 years without contact, Roscommon SPCA CLG will automatically delete all of your personal information from its database.

ROSCOMMON SPCA CLG

CHARITY NO: 20206904 | CHY: 18790 | COMPANY NO: 745131

Post: Roscommon SPCA CLG

Castlerea Enterprise Hub, Demesne, Castlerea, Co. Roscommon, F45 AC96

Ireland

Tel: 0818 294 017

Email: spca@roscommonspca.ie

www.roscommonspca.ie / www.facebook.com/roscommonspca

NOTE: This is an inquiry form about the dog you are interested in, not an adoption form.

We will review your form, and if we think you can offer a suitable home, we will email you and let you know. We will then arrange a home visit. If the home visit is successful, we will let you know, and you can go ahead and adopt. There are some formalities to be done first.

1. We will need a copy of a passport or driving licence. (to comply with microchipping regulations)

2. We will need a copy of a utility bill less than three months old.

3. An adoption form signed.

4. Adoption fee paid.

Once all this is in place, you can arrange to collect your lovely adopted dog/puppy.

Signature

By submitting this form, I agree all the information is correct.*

If you have been asked to upload pictures of your garden, do so here.

I am aware this is just an initial Inquiry form and not and adoption form. If your application is successful, we will be in contact with you*

	Answer
Yes
No

Roscommon SPCA Dog Inquiry Form.