Contact

Name

Address (inc postcode)

Contact Number (no spaces please)

Mobile number (no spaces please)

E-Mail

Which dog are you interested in?

Where did you see this dog advertised?

Can you travel to adopt the dog?

Yes

No

How soon can you adopt the dog?

As soon as available

Within 1-2 weeks

2-4 weeks

How many adults in your household?

How many children in your house?

How many children under 5 in the house?

Do you live in a house or flat?

Is your home owned or rented?

Do you have consent to keep a pet?

Yes written consent from landlord

Can obtain landlords consent

Am property owner.No consent needed

Do you have an enclosed garden?

Yes

No

What is the garden fence height?

Have you owned a dog before?

yes

no

Do you own any other pets? (details)

Are any other pet neutered?

Yes

No

Why do you want to adopt this dog?

Will all the family come meet the dog?

Yes

No

How long would the dog be left for?

Our Adoption fee is £150 is this ok?

Yes

No

Our adoption fee in non refundable

I understand and this is acceptable

This is not acceptable to me

Other info which you would like to add

Are you a member of Dog Pages?

Yes

No

If yes, What is your user name?

Are you a member of the FOTA Forum?

Yes

No

If yes, What is your user name?