Beloved kennels application form

Dog of interest

The dog you are wanting to foster/adopt

Are you interested in

AdoptingFosteringFostering with a view to adopt

Full name *

First NameLast Name

Address*

Street Address

Street Address Line 2

City

Postcode

Wr6

Email

example@example.com

Phone number

Mobile phone/home phone

Date of birth

23/04/1999 etc

Why do you want to adopt this dog?

Have you previously owned a dog?

YesNoI’ve had a family dog but not my own dog

Have you previously owned a rescue dog?

YesNoI’ve had a family rescue dog but not my own dog

If you have had a rescue dog, which organisation was it from?

Do you have any other animals? If yes, are they neutered. Are they vaccinated?

Please include the species & ages of the other animals.

How many adults live in the home?

Adults 18+

Do you have any children?

Please state how many children you have and how old they are

If you don’t have children, do you plan on having them?

YesNoMaybe in the future

Do you own or rent your home?

If you rent your home, we will need evidence that the landlord has agreed to let you have a dog on the property.

Do you have a garden?

YesNoA shared garden

Roughly what size is your garden?

Small & cosy gardenMedium standard gardenLarge garden1 acre +

Is your garden secure?

The dog can free roam without worry of escaping

How high is the fencing in the garden?

Example: 5ft/6ft

Do you work?

Full timePart timeI don’t work

How many hours a day will the dog be left alone for?

How frequently and how long do you intend to exercise the dog?

Where will the dog sleep at night and where will the dog have access to?

Do you have a vet practice?

Please state which vets you plan to use

Do you agree to have a homecheck?

This will include a video of your garden & proof of ID

Are you willing to travel to our Worcester kennels?

Is everyone in the house on board with getting a dog from Beloved kennels?

If we feel this dog isn’t suitable or no longer available, are you open to suggestions of another dog?

Is there any other information you feel would be useful to us?

I agree that if my circumstances change or the foster/adoption doesn’t work out, I will contact Beloved kennels immediately

I agree

I agree that some of these dogs may have never lived in a home so will take time to settle. I agree to give the dog time and patience to allow them to adjust to their new lives.

I agree

I agree that upon confirmation of adoption that I will be responsible for all vet fee’s unless otherwise agreed with Beloved kennels.

I agree

I agree that the dog remains the property of Beloved kennels until a fully signed contract is received.

I agree

By ticking this box I wish to go ahead with the fostering/adoption process and agree for a home check to take place. I am verifying all of the above information is correct.

I agree

After submitting this form, a member of the team at Beloved will be in touch to discuss the next steps.