Age (you can repeat click this box to select multiple answers) *
Under 6 months
6 months - 2 years
2-5 years
5-8 years
8+
Any age
*
Please note, only the adopter (over 18 years old) themselves can complete the form - please confirm.
Is everyone in your household aware that you are planning to adopt a pet?
Drop down to select
Yes
No
N/A
Is there a specific animal on our site you are interested in adopting *
No Yes
If yes, please give name and any reference numbers if included.
Title *
Mr
Mrs
Ms
Mx
Dr
Your First Name *
Your surname
House Name or Flat Number (if applicable)
Door number *
Street or Road *
City
Post Code *
Phone Number *
Mobile Phone Number *
Email Address *
How did you find out about us?
Drop down to select
InternetSearch
Family/Friend
Staff/Volunteer
Facebook/Twitter
national RSPCA
already know you
I ama previous adopter
I was told about you by my vet
Please check the main reason you plan to adopt a pet: *
Drop down to select
Companion
Family Pet
Child's Pet
Guard Dog
Companion for another pet
Other
If you answered "other" above, please explain here:
Are you happy to allow us to carry out a home visit (Covid rules aside)? *
No Yes
Do you own or rent your home? *
Drop down to select
Own
Rent
Someone else owns the Home
Someone else rents the Home
On average, how many hours per day will your pet be left alone?
If you rent, does your landlord and lease allow pets? (If yes, please attach landlord's written permission) *
Drop down to select
Yes
No
Unsure
N/A
Please could you list how many people live in your household, and the ages of any children under 14 (including any who visit regularly). *
Please list any other pets you have at present *
Are you looking for a male or female animal? *
Male
Female
Doesn't matter
Are all of your pets spayed/neutered/fixed? *
Drop down to select
Yes
No
N/A for species
Are your pets up to date on their vaccinations? *
Drop down to select
Yes
no
n/a for that species
Dog I am looking for (you can repeat-click this box to select multiple answers) *
A dog who is good with other dogs
A dog who is good with cats
a dog who is good with kids under 5
A dog who is good with kids over 5
A dog who needs a lot of exercise
A dog who can be left for 4 hours or less
A dog who can be left for up to 8 hours
A dog who is comfortable around people
What size of dog *
Toy
Small
Medium
Large
Giant
Will this pet be predominantly living inside, outside, or both? *
Drop down to select
Inside
Outside
Both
Where will the animal live? *
Tell us a bit about your garden (more than one can be selected) *
I don't have a fenced garden
It is fenced to 4 feet (120cm)
It is fenced to 5 feet (150cm)
It is fenced to 6 feet (180cm)
It is a shared garden.
If you do not have a fenced garden, where will you let the animal out?
What would you do with your animal if you had to move? *
What arrangements will you make for the care of your pets in case of an emergency? *
Do you have any plans to holiday away, or move home within the next 3 months? *
What will you do with the animal when you go on holiday? *
Please tell us about anything else you feel is important, including your experience with dogs *
Please attach pictures of your secure garden and property etc to support your application
If you have a document which shows you have landlord permission to keep a pet (where needed) you can attach this (only images can be attached at present)