Interest in Adoption or Fostering Form

Name of primary applicant* This field is required.Person/s applying for a Labrador

Prefix

First Name

Last Name

Name of secondary applicantPerson/s applying for a Labrador

Prefix

First Name

Last Name

Address* This field is required.The main residence where the Labrador will live

Street Address

Street Address Line 2

Town or City

County

Postal Code

Country

Mobile Phone Number For the primary potential adopter

Alternative Phone NumberCan be a mobile for a secondary potential adopter or a landline

example@example.com

Please list all household members, including applicant/s, and their gender and age* This field is required.

e.g. Female Adult, 47 / Male Adult 49 / Male child, 12.

Please list any regular visitors to the household including gender and age and frequency of visits* This field is required.

e.g. Male, 65 years old, visits once a week / Female child, 2 years old, visits daily.

Does anyone in the household have any allergies, and / or asthma, and / or disabilities, which a dog may have an impact on, or which may have an impact on a dog?You can select more than one option. Under GDPR Regulations, please do not disclose specific personal data.

Yes

Maybe

Impact on a person

Impact on a dog

Impact on a person and on a dog

Are you going away for any reason in the next 3 months, including for short breaks?* This field is required.

Please provide details of any current pets, including species, sex and breed and if neutered / spayed and vaccination status. If you don't currently have any other pets, please put n/a* This field is required.

e.g. 3 year old entire fully vaccinated male Collie , 13 year old female not vaccinated spayed cat,.

Please provide details of any past pets and if a dog, their breed and the reason they are no longer with you. If you haven't previously owned a pet, please put n/a* This field is required.

e.g. Male Labrador who passed away from old age. Male Chihuahua rehomed to friend.

Please provide details of any animals which regularly visit your home, or are in homes which you would like to visit regularly with a dog. If there are no visiting animals or pets in homes you visit, please put n/a.* This field is required.

e.g. Friend visits with their female spayed Yorkie once a week. Stay with family once a year with 3 dogs.

Type of Property

Occupancy* This field is required.

If living in rented accommodation, can you obtain written landlord permission allowing a dog to live at the property?

If you already have written landlord permission, you can upload it below.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

Do you have any outside space?* This field is required.

Garden

Court/yard

Please describe how your outdoor space is secured and the minimum height.

e.g. 4 feet fencing at lowest point, rest is 6 feet

If you would like to include a picture of your outdoor space, please upload it below. A homecheck will still be carried out by one of our volunteers.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

On average, how many hours per day would a dog be left alone on a weekday (Monday to Friday) ?* This field is required.More than one option can be selected

Never

0 - 2 hours

2 - 4 hours

4 - 6 hours

6 - 8 hours

8 + hours

Please select the reason(s) a dog would be left alone on a weekday (Monday to Friday)?* This field is required.More than one option can be selected

Appointments

Extra curricular activities

Other reason

Not applicable

School Drop Off and Collection

Shopping trips

Socialising / Trips out

Work

Volunteering

On average, how many hours per day would a dog be left alone on a weekend (Saturday and Sunday)?* This field is required.More than one option can be selected

Never

0 - 2 hours

2 - 4 hours

4 - 6 hours

6 - 8 hours

8 + hours

Please select the reason(s) a dog would be left alone on a weekend (Saturday and Sunday)?* This field is required.More than one option can be selected

Appointments

Extra curricular activities

Not applicable

Other reason

Shopping trips

Socialising / Trips out

Work

Volunteering

What provisions would be made if the dog was being left for more than 4 hours per day?

e.g. Doggy day care, left at home with a neighbour caling in

Please state your occupation(s) if applicable.

e.g. work part time in an office, self-employed

Please describe the average daily routine a dog would have in your household* This field is required.

e.g. am, 30 minute walk, breakfast, left alone, lunchtime, toilet break, pm 1 hour walk, dinner

Do you have transport which is suitable to carry a dog safely and in compliance with government legislation?* This field is required.

e.g. Yes, own a car, have a crate / dog guard / harness and seatbelt attachments

If you were to adopt a Labrador, what would your preference be?* This field is required.You can select more than one option.

Either female or male

Female

Male

Mixed Pair

Same sex pair - Males

Same sex pair - Females

Do you have a preference on colour of the Labrador you would you like to adopt?* This field is required.You can select more than one option.

Black

Chocolate

Fox Red

Silver

Yellow

No preference

What age of Labrador would you prefer?* This field is required.You can select more than one option.

Under 6 months

6 months to 1 year

1 - 2 years

2 - 5 years

6 - 8 years

8 - 10 years

Over 10 years

Any age

What fitness level would you prefer a Labrador to have based on your household's lifestyle?* This field is required.You can select more than one option.

Under 1 mile walk per day

Between 1 and 2 mile walk per day

Between 2 and 5 mile walk per day

Between 5 and 10 mile walk per day

Over 10 mile walk per day

Garden exercise only

Short potters only

Running companion

Which of the options below would be important to you in a dog?* This field is required.You can select more than one option.

Able to be left alone

Likes being fussed

Sociable with adults and strangers

Sociable with cats

Sociable with children

Sociable with dogs

Sociable with other animals

Travels well

Toilet trained

Walks well on the lead

Would be happy going to cafes / pubs etc

Would be happy going to busy locations

Please select your preference(s) if you were offered a suitably matched dog. Please note, we operate across the Southwest region* This field is required.You can select more than one option.

Would prefer to meet the dog in advance and would be happy to travel any distance to do so

Would prefer to meet the dog in advance but would not want to travel a great distance

Would want to meet the dog in advance and would be happy to travel any distance to do so

Would want to meet the dog in advance but would not want to travel a great distance

Would be happy to take a dog without meeting it beforehand

No preference

Would you be prepared to take on a dog with any of the below traits? Dogs with behavioural issues are under our Supported Training And Rehabilitation Scheme, with FREE support from a force-free accredited Behaviourist or Trainer provided by The Labrador Rescue Trust, to help make improvements. Any known behavioural issues and an overview of a behaviour modification plan would be discussed with you in advance.* This field is required.You can select more than one option

High Predatory Motor Pattern / Prey Drive (i.e. chasing cats, cars, joggers, bikes etc)

Jumping up (i.e. at people, kitchen worktops etc)

Reactive to other dogs and animals (i.e. barking, lunging, growling)

Reactive to people (i.e. barking, lunging, growling)

Resource Guarding of food, people, spaces, toys (i.e. being protective of and will growl, lunge, snap)

Separation Related Issues (i.e. destruction, vocalising, toileting etc when left on their own)

Strong on the lead

No thank you - I don't want a dog with behavioural issues but would consider a dog which would only need some basic training

Would you consider a dog which may have some behavioural issues if you had the free support to make improvements of an accredited Behaviourist or Trainer provided by The Labrador Rescue Trust under the STAR scheme? Any known behavioural issues and a overview of a behaviour modification plan would be discussed with you in advance.You can select more than one option. STAR = Supported Training And Rehabilitation

Yes

Maybe

Depends what the behavioural issues are

Would you consider a dog which may have some medical issues and may be under our SAD scheme, whereby the costs of any pre-existing conditions would be covered by the Charity? Any known medical issues and what they entail would be discussed with you in advance.You can select more than one option. SAD = Supported Adopted Dogs

Yes

Maybe

Depends what the medical issues are

If an entire (unneutered / not spayed) Labrador was placed with you, which option is most applicable?* This field is required.You can select more than one option.

Believe a female should have at least one litter

To use a local designated vet arranged by and at the cost of The Labrador Rescue Trust for the neutering / spay operation

To pay for the neutering / spay operation myself

Wouldn't want to get a dog neutered / spayed

With regard insurance for a Labrador, which of the options is most applicable?You can select more than one option.

Have a savings account in place

Would take the 'Life Cover' insurance policy

Would take the 'up to a certain limit per condition per year' insurance policy

Wouldn't take out insurance cover

If you have a veterinary practice in place, please include their details below.

Would you consider fostering a Labrador for the Trust on a short term basis and be included on our Vetted Foster Homes list?You can select more than one option. Fostering means looking after a dog for a period of time until it is moved to its permanent new home. This may include a dog which needs further assessment or rehabilitation.

Yes

Maybe

Would prefer to wait to adopt

If there is anything else you would like us to know to help with your application, please add your comments / further information below.By disclosing any specific personal date, under GDPR regulations, you are providing consent for us to hold this information.

Are there any volunteering roles within The Labrador Rescue Trust which you would be interested in?* This field is required.You can select more than one option.

Dog Assessments

Fundraising

Home Assessments

Raising Charity awareness at events

Transporting of dogs

No thank you

I understand that the information on this form has been volunteered in line with GDPR and is used for the purpose of considering the suitability of placing a dog.* This field is required.Please visit https://labrador-rescue.org/website-privacy-policy/

Yes, I understand

Signature* This field is required.

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Interest in Adoption or Fostering Form