HOME CHECK FOR PETS2ADOPT

Hobbies & Pastimes:

Personal Reference: Name , Phone No , Email Address:

Property Type (e.g House, Flat, Bungalow etc):

Street Type (e.g main road, cul-de-sac, estate)

Do you have a private fenced yard + size?:

Type of fence (e.g metal, wood)

& height at the lowest point (if applicable):

Please upload the fotos of the fence in case of House/ balcony in case of flat

File Upload

Do you have a pool/pond?:

Is it fenced?

How many people live in your household inc you and age of any house resident?:

If any Children live there, what are there ages? (include visitors):

Does anyone in the home have allergies or other special needs?

Do all the members of the family agree to adopt a dog?

Do you own or rent?:

If you rent: Does the Landlord allow the dogs in the property?

If Yes, please confirm dog allowance by landlord by any rent agreement, written confirmation of the landlord or by provision of landlord contact details below: as Landlord’s Name, Phone No, Email Address:

File Upload

DOG

Where will your dog spend most of its day (e.g. indoors, outdoors, crate)?:

If other be specific:

How active is your lifestyle?:

Which Rooms are out of bounds?:

Is the dog allowed on furniture?:

If other be specific:

How long will the dog be alone per day?:

Do you have any pets now (if yes how many & include any visitors)?:

If you have pets now, please upload fotos of your pets

Where will your dog sleep (be specific)?:

Are your pets spayed/neutered (if no, explain)?

As an adult have you owned a dog before?:

If Other-be specific:

If you no longer have, what happened to him/her?:

Have you ever given up a pet before?:

If Other-be specific:

If yes please answer below:

Who did you give the pet to?:

Why was the pet given up?:

Do any of the costs associated with owning a dog present a financial problem for you (e.g vets bills, vaccines, insurance, chip registration, grooming and general up-keep)?:

If Other-be specific:

Who is your current vet if you have one? Name of Vet Clinic, Phone No:

What will you do if your dog/puppy chews your carpet, furniture or new shoe’s?

Are you willing to toilet train your new dog?:

Please explain in details any of your choice:

Are you willing to attend dog/puppy obedience/ training classes?:

What is your expectation from the dog behavior after it comes to your home?

What possible reason can make you give the dog back and cancel the adoption, if any known (for example dog behavior reasons, be specific what exactly, personal circumstances changes, newborn , movement to other property, long hours work etc)?

DISCLAIMER

Are you expecting any changes to the information you have given above?:

Additional information that you think may be relevant?:

Please consent to processing your form and in case of approval to proceed to home check at your property place

Signature

GDPR COMPLIANCE

We gather your contact details because they are necessary to consider your application for adoption of a dog, assess the dog's suitability to you, assess your property for dog security reasons, and to avoid easily predicted adoption failure that is not in the interest of the dog nor you and to make a conclusion on approval or denial of applications.

All information provided is kept confidential and not disclaimed to any third party except Pets2Adopt volunteers involved directly in the adoption process.

Any application that was denied will be deleted and Pets2Adopt will not keep any of your information anymore.

In case of a repeated application for adoption of another dog, you have to submit all the information again by submitting a new form.

Contact us:

https://www.facebook.com/groups/pets2adopt

pets2adopt@cytanet.com.cy

FOR OFFICIAL USE:

Other notes made by Home Checker:

Home Check Approved or Declined:

Reasons if Declined:

Name of Home Checker:

First NameLast Name

Phone number of Home Checker:

Email of Home Checker:

example@example.com

Signature