Dog adoption form
(Please fill out every section with the an answer to the required question)
Name
First Name
Last Name
What dog are you interested in?
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Age
Ages of resident or regularly visiting children or grandchildren?
How did you hear about Emilija's Little Rascals?
Google
Facebook
Instagram
Friend/relative
Resident pets - please tell us all about your cats, dogs and other furries. Age, character, energy levels, health etc. Also please give your opinion on how they are likely to welcome a new dog into the home.
*
Any regular doggie visitors to your home, please describe character and temperament.
Please tell us about your dearly departed dog/dogs.
Describe your perfect dog
Describe your not so perfect dog
Do you have any experience of owning a rescue dog?
Do you have any plans to move in the next 6 months or have you recently moved.
Have you applied to any other rescues or are considering/applying for other dogs? What stage are you at if applicable.
Do you or any adult members of the household have mobility issues.
Your home - Please tell us about your home, location, size, access etc Do you own or rent, do you have landlord permission to keep a dog ( this will need to be provided)
Garden - please tell us about your garden, size, boundary height, hedges, walls, gates
Location of your home. Please tell us about your local area, proximity to main roads, walks, countryside, beach.
Work - Please tell us about the working hours and patterns of all adults in the home
Leisure - please describe how you enjoy your leisure time
Describe your Homes Activity Level
Busy/Noisy
Moderate Comings/Goings
Quiet with Occasional Guests
Introducing a new dog to your home - please tell us how you would introduce your new rescue dog to your home, family and other pets
Please describe your hopes and fears in rescuing an international dog.
Submit
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