Dog Name(s)

A little about your dog preferences...

Size of Dog

Age of Dog

Sex

Why are you interested in adopting this dog? *

Would you be interested in us suggesting other potential matches or are you only interested in a specific dog?

Your ideal dog would...

Be good with cats

Like other dogs

Be good with Livestock

Be good with children

This Dog is not suitable for a household with Children

Like Strangers

Be housetrained

Enjoy being petted

Like travelling in the car

Now a little about your home

Do you own or rent your property?

Own
Rent

If renting - do you have permission from your landlord?

Do you have a garden?

Is the garden secure from escape?

Please provide details of the provisions you have in place to prevent escape?

Please briefly describe a typical day in your household and how a dog might fit into it?

A little about your family...

How many adults live in your home?

How many children are at home?

This Dog is not suitable for a household with Children

Please detail the ages of your children

Are there visiting children?

This Dog is not suitable with Children

Please detail the ages of any visiting children, and how often they visit

How long do you expect to leave the dog alone on a regular basis?

If you are out for long periods, what provisions will you have in place to ensure the dog is not left for too long?

How much exercise will you be able to give a dog on a typical weekday?

How much exercise will you be able to give a dog on a typical weekend day?

What hobbies or activities would like to or envisage including a dog in?

A little about your other animals...

Do you have other dogs?

If yes, please state gender?

Are they neutered?

Are they vaccinated?

Do you own other animals? If yes, please detail

Do you have visiting animals? If so, please detail...

Is there anything else you would like to tell us?

Your Contact Details

Surname *

Firstname *

Title *

Other

Email Address

Address *

Town *

County *

Postcode *

Home Telephone

Mobile Number

Primary No *

What is the best time to contact you?

Where did you hear about us?

Other

Are you interested in Adopting or Fostering? *

Are you on holidays or moving house in the next 6 weeks? *

Confirmation

Signature

We'd love to keep in contact with you!
We’d love for you to become part of our community and to be able to keep you up to date about our news, tips and events. Tell us how you would like to hear from us.

Which methods would you be happy with us contacting you through. You can select more than one.

All personal information supplied by you on this application form will be processed by the Royal Society for the Protection of Cruelty to Animals whose privacy policy is available and published at: www.rspca.org.uk/privacy or on request by calling Supporter Services on 0300 123 0346. This applies whether the information is supplied directly to the national RSPCA (charity 219099), as data controller, or is shared with us by an RSPCA Branch (a separately registered charity) as a joint data controller. The term "RSPCA" will refer to both data controllers.

Perfect Match for Dogs **