Caki’s Dog Rescue Adoption Application
This adoption application is between Fahrudin Bravo of GornjaMandzina 18-22, 71000 Sarajevo, Bosnia and Herzegovina, Bosnia and the applicant completing this form. FULL ADOPTION / TRAVEL COST IS £475
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
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example@example.com
Mobile number/landline
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Name of dog you are interested in adopting and brief description of what they look like. Why do you like this dog? If you don’t have a particular dog in mind, please state ‘open application’.
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What is the name of the admin who posted this dog? If you can’t remember just leave this blank. (This just helps us reply faster)!
What type of property do you live in?
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House
Bungalow
Flat
Mobile home
Boat
Other
If you live in a flat, please state which floor and your plans when it comes to toileting.
Do you own or rent your home? If you rent your home, do you have your landlord’s consent to adopt this dog? You will need to provide proof of this by emailing or posting a copy of the letter of consent asap.
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Own
Rent
Please give details of your garden. What size is it? (small/medium/large) Is it secure?
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Small and secure
Medium and secure
Large and secure
Small and NOT secure
medium and NOT secure
large and NOT secure
No garden
What is the height of your fencing at its lowest point? Please measure this.
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Is your back garden separate from your front garden?
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Yes
No
Do you have a communal garden or does anyone have access to the garden other than you and your family?
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Yes
No
Do you have a pond?
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Yes
No
Do you have a dog kennel or run in your garden?
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Yes
No
Please give the ages of the adults who live at the property. How many adults live in your household?
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Please give the ages of any children living at the property (or type none)
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Please give the occupation of all adults living in the property and work hours of all adults living in the property. Please mention if the job is working from home.
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Are you able to take time off to settle the dog into your home? Even if you are working from home, you should take a few days off work. Please detail how long you would take off work.
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How many hours in any one day would the dog be left?
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Up to 1 hour
Up to 2 hours
Up to 3 hours
Up to 4 hours
Up to 5 hours
Up to 6 hours
Up to 7 hours
Up to 8 hours
8 hours a more
How many times a week would the dog be left for the time selected above?
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1 day
2 days
3 days
4 days
5 days
6 days
7 days - a full week
What other animals currently live in your house? Please include breed, sex and age of animals. Please also mention if your current pets are spayed/neutered.
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Are all the animals you own inoculated (vaccinated) annually and will you continue to inoculate the dog you want to adopt?
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Yes
No
Where would the dog be sleeping? For example which room/s in the house.
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What dogs have you owned in the past?
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Have you ever surrendered a pet you own to any animal rescue?
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Yes
No
Have you ever been convicted of an animal related crime such as cruelty to animals, animal theft or animal abandonment? If Yes please provide details.
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How many times per day would the dog be walked and how long would each walk last?(please note puppies are to be walked only five minutes per month of age until one year old).
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Are there exercise areas nearby? (parks, beaches, fields etc) Give details.
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If adopting a puppy do you agree to have it spayed/neutered by the time it is one year old?(ideally between nine months and one year old) We do require evidence that this has been done.
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Yes
No
If adopting a puppy, please provide the details of your vet or the vet you will be using. Including address, and contact number.
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Will you have insurance for your dog or pay as you go?
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Insurance
Pay as you go
If adopting a younger dog - Please give details of your training intentions / training classes you would attend.
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Do you have holidays booked in the immediate future? If yes, please give details.
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What are your plans when you go on holiday and are unable to take the dog with you? Ie kennels, resident dog sitter, family and friends home etc
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Please confirm that you are able to collect the dog you have applied for within five days of passing your home check? The person you are dealing with, within the charity will give you collection details.
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Please add any other information you think may be helpful in your application here.
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I have read and understood the adoption fee (which is the transport cost) and agree this will be paid in full bythe time transport has been reserved for the dog. Please type I agree, if you agree.
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Whilst the dog is in the Balkans, are you willing to make a donation towards its care in a foster home or private kennel before he/she can travel to the Uk? For a puppy it costs us 100 euros per month and if over twelve months of age it costs us 80 euros each month. Please state the amount you would be willing to donate.
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Would you like to make a contribution towards vaccinations, rabies jab, flea and worm treatment and 4D Health Check? Please state the amount you would like to donate.
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Your privacy is very important to us and we always keep your information safe. Please confirm that you give us your consent to store your personal details to enable us to contact you regarding your application via email or by phone and to be able to process your application form. As part of the application process, we may need to share your details to a fosterer, volunteer, home checker or behaviourist in order for us to complete the adoption process together with the microchip company.
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Yes
No
Please print your full name and todays date.
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Submit application
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