West Wales Poundies Adoption Form

West Wales Poundies Adoption Form

Please read the Rehoming policy and Terms and Conditions before completing this form. WE DO NOT REHOME IN SCOTLAND OR NORTHERN IRELAND.
Full Name*

First NameLast Name
E-mail address*
example@example.com
Phone Number*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Town / City*
Post Code*
Country*
What is your age?*
Date Of Birth

DayMonthYear
How long have you lived at this address? *
What dog or breed are you applying for? *
If that dog isn't available, what breed / type of dog will you consider?*
What type of area do you live in?*

RuralUrbanOther
What type of property do you live in?*
e.g. Apartment, detached house
Do you own or rent the property?*

OwnRent
Do you have proof from your landlord that you are allowed to home a dog?*

YesNoNot applicable (house isn't rented)
Do you have a secure garden? *
How many adults live at your property?*
How many children live at your property?*
Are there children living at your property?*

YesNo
What are the ages of the children?*
Do/will the children have contact with the dogs?*

YesNo
What are the ages of any children who visit your property?
Do you work?*

YesNoRetired
What is the occupation of you and your partner?*
e.g. Nurse and teacher
What are the working hours of you and your partner?*
What is the size of your garden? (Approx) *
What is the height of the fence / walls in the garden? (approx) *
Please provide a picture of the garden and fencing / walls if you can

Cancelof
Do you have any dogs at the moment?

YesNo
Do you have any dogs at the moment?*

YesNo
What are the breed and ages of your current dog(s)?
What is the temperament of your current dog(s)?*
Are your dogs vaccinations up to date?*

YesNoNot applicable
Are all dogs Neutered/spayed?*

YesNoNo but medically exempt
If current dogs are not neutered/spayed please state the reasons why?*
It is unlikely we will rehome dogs to homes where resident dogs are not neutered (unless its for medical reasons that can be verified with your vet). Please do not proceed with your application if your resident dogs are not neutered (and are not exempt for medical reasons).
All resident dogs must be able to travel by car to our kennels in Llansawel to meet the dog(s) you'd like to adopt. There will not be any exceptions to this.*

Ok, no problemThis won't be possible, my dog doesn't like to travelNot applicable, I don't have a dog currently
Do any dogs visit your property regularly? If so, please give details of breed, age and temperament*
Do you have any Cats at the moment?*

YesNo
Do your neighbours have any children?*
Do your neighbours have cats?*
Do your neighbours have dogs? Please state breed and the number of dogs
Is anyone in your household banned from keeping animals?*

YesNo
What dog breeds have you owned before?*
If you have not had a dog before, please give details of any dog experience you have
Would the dog have full run of your home?*
How long would the dog be left on its own and where would it be kept?*
Where would the dog be kept when you are out?
Where would the dog sleep?*
Who / How long would you exercise the dog? *
Do you drive?*

YesNo
Is everyone who lives in the home available to meet the dog?*
Do you agree to us contacting your vet for a reference?*

YesNoI'm not registered with a vet (yet)
What is the name of your vet practice?*
If you aren't registered with a vet yet, write the name of the vet you think you will register with
Name of pet(s) registered at the vet practice*
Vet Practice Address*
Vets Telephone Number*
Are you prepared to take on dogs with issues? E.g. Reactive to other dogs/food, Medical issues etc. please Please provide details.*
Is there anything else you would like us to know?
Do you have any applications in progress with any other rescues? If so, which ones?*
Today's Date

DayMonthYear
Have you read our Rehoming Policy and Terms and Conditions?*

YesNo
Do you agree to abide by the Rehoming Policy and Terms and Conditions?*

YesNo
I am aware that I will need to visit the kennels on 2 occasions in CARMARTHENSHIRE before rehoming a dog.*

YesNo
I am aware that WWP only rehome in Wales and England*

Yes
I am aware that I will only be contacted if WWP decide to proceed with a homecheck (usually within 10 days). Unfortunately, we are unable to reply to every application.*

Yes
If WWP decide to proceed with my application, I consent to a volunteer carrying out a homecheck at my property, with a focus on the suitability of the garden boundaries and fencing*

YesNo
I consent to sharing my information with WWP and their volunteers and agree that I can be contacted via email and phone.*

Yes
Should be Empty: