ROLDA Rescue: Dog Adoption Application

ROLDA UK Dog Adoption Application
Thank you for applying to adopt one of our ROLDA dogs!

Applications are considered individually on their merits. Our aim is to ensure we place the right dog in the right home, therefore, please be reassured there are no right or wrong answers to give within the application. We are simply asking you these questions so we can evaluate the environment that you will be providing for one of our dogs.

The adoption fee is £400, which covers preparation of your dog for travel including neutering, vaccinations, blood tests, worm and flea treatment, chip, passport and a final healthcheck. The fee also includes transport of your dog from our shelter in Romania safely to your door.

Dogs travel to the UK via EuroTunnel with our trusted transporters, Hope4paws Pet Transport.

Adoption fees are payable by PayPal or Bank Transfer to ROLDA UK on successful completion of your homecheck.
Please answer all questions as fully as possible.
Name of the dog you would like to adopt *
Adopter's Name *
First & Last Name
Co-Adopter's Name (if appropriate)
First & Last Name
Address *

Street Address

Street Address Line 2

CityCounty

Postcode
Adopter's E-mail *
example@example.com
Co-Adopter's E-mail
example@example.com
Phone Number *

Dialling codePhone Number
MobileHomeWork
YesNo
Please note:
We are sadly unable to place dogs in families with children under the age of 7. Applications from families that include children aged between 7 and 11 are considered, dependant on the personality and age of the dog.
YesNo
YesNo
If you currently have a dog/dogs, please list their breed, age and sex.
YesNoWill be within the next 30 days, appointment has been scheduled.N/AOther
YesNoN/A
Do you ever have dogs visiting your home? If so, how do your dogs react during these visits? *
YesNoN/A
Yes, indoor catsYes, outdoor catsNoOther
If your cat/cats didn't get on with a new ROLDA dog, how would you deal with that situation? (Please type N/A if you don't own any cats) *
Do you have any other pets? If so please give their species, sex and ages... *
Do you have any farm animals, or do you live close to livestock? *
Yes, owned a dog myselfNoHad family dogs during childhoodOther
Have you ever had to give up ownership of a dog? If so, please explain why... *
HouseFlatBungalowOther
RentOwn
If you rent, please could you provide a copy of a written letter from your landlord or a copy of the section of your lease stating that you are permitted to have dogs, and showing any limitations.
Private gardenCommunal gardenYardNo garden
Lower than 6ftHigher than 6ftN/AOther
YesNoN/A
YesNoRetired
YesNo
How many hours per day would the dog be alone? *
Where would the dog stay/sleep when home alone? *
What arrangements would you make for your dog if you need to travel for business, or you have a holiday? *
High energy / very playful and energeticMedium energy / normal exercise levelsLow energy / couch potatoOther
What would cause you to return a dog? *
Toilet trainingRecall trainingNippingGrowling / barkingPulling on lead during walksBoisterous playFood / toy aggression / not willing to share with other dogsFood / toy aggression with peopleI am prepared to take on a dog with any of these training needs
General anxiety / nervousnessFear of the harness / leadFear of / aggression towards menFear of / aggression towards womenFear of / aggression towards other dogsFear of / aggression towards catsFear of trafficI am prepared to take on a dog with any of these behavioural issues
BlindnessDeafnessRequires a special dietHeart conditionIncontinenceGiving Heartworm preventative (if appropriate)Giving Lungworm preventative (if appropriate)I am prepared to take on a dog with any of these health issues
Please give the name and address of your vet, or intended vet... *
What would you do if during your dogs lifetime it was diagnosed with an expensive health condition, or needed regular medication? *
YesNoI wasn't aware this was available. I will look into it.
Food treat rewardsVocal praise and pettingShutting dog outsideShutting dog in his / her crateChoke chainDog whistleOther
YesNo
Please read the following and ensure that you agree before signing and submitting your application.

I understand that completing this application does not guarantee I will be successful in adopting a dog, and that the application is a tool to help ROLDA UK determine if the dog and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my application not being approved and/or removal of the adopted dog from my possession. I also certify that I have never been convicted of animal cruelty or neglect.

I agree to allow a representative from ROLDA UK to contact my vet for a reference and also agree to allowing a home visit prior to adopting this dog. If I am approved to adopt a dog, I agree to pay a non-refundable adoption fee and hand sign an adoption contract at the time of adoption.

I understand that all dogs adopted from ROLDA UK will be spayed/neutered, microchipped, heartworm tested, flea/worm treated and vaccinated prior to adoption.
I/We have read and understand all of the above.
Applicant's Signature*
Co-Applicant's Signature
Signature date*
After you submit this form, it will take you back to the ROLDA UK home page. Feel free to email us with any questions:

Contact us at rolda@rolda.org.uk

Renters: Please send a copy of the pet section of your lease or a landlord pet permission letter to the email address above.

ROLDA UK reserves the right to reject any application based on information obtained during this screening process. Please understand that our primary goal is the health, happiness, and safety of our rescued dogs.
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ROLDA UK Dog Adoption Application