English Adoption Sample Contract
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Little Angels Rescue BG Registered Animal Welfare Charity No. 176001166 www.littleangelsrescuebg.org | email: [email protected]
Little Angels Rescue Adoption Questionnaire - Dog
Date:
Dog’s Name(s) of Interest: Re-homing country (UK or GERMANY):
Personal Information:
1. Name: 2. Address: 3. Nationality: 4. Languages Spoken: 5. Home phone: 6. Work phone: 7. Mobile phone: 8. E-mail address: 9. SKYPE address: 10. Facebook contact URL: Age (mark with an X): 18-25: ___ 26-35: ___ 36-45: ___ 46-55: X 56-65: ___ >66: ___
11. Alternative person to contact in case of emergency (e-mail and telephone):
12. Do you work (full-time / part-time / retired / other):
13. Occupation(s) of adult family members:
14. Do all members of the family agree with the adoption or foster of the dog:
15. Please supply photos of your home, garden and family life – attached Y/N
About Yourself:
16. Do any children live or visit the house regularly what are their ages and how much experience do they have with dogs?
17. Any other occupants?
18. How would you describe yourself as a dog owner? First time owner / have had some experience / very experienced
19. Reason for adopting a rescue dog: Family pet / guard dog / “Pets as Therapy” dog / company for another pet / potential for competition i.e. agility/obedience. / Other
20.Do you want to adopt or foster a dog:
21. Do you currently have any other pets? How many? What type?
1 Little Angels Rescue BG Registered Animal Welfare Charity No. 176001166 www.littleangelsrescuebg.org | email: [email protected]
22.If you own another dog, please give name(s), breed, sex, age, and whether they are spayed/neutered
23.Other dog(s) - what is their temperament? e.g. do they like other dogs, would they be accepting of a new dog? How would any conflicts be handled?
24.Have you ever had to give up a pet for any reason? (If ‘Yes’, please give details):
25. If you suffered an accident or became seriously ill, what would happen with the dog?
26.What would you do if you ever had to give up the dog due to a change of circumstances?
27. Has any member of the family who will be residing in the same dwelling as the adopted dog ever experienced animal-relate allergies?
28.What do you like doing in your spare time?
29.Do you travel abroad and if so how will the dog be cared for in your absence?
30.If you move abroad permanently will you be able to take the dog with you?
About the property:
31. Type of property: bungalow / house / apartment / detached / semi detached / terraced / other
32.Owned or rented: If rented, do you have Landlords permission to have a dog? (we may need to see this in writing)
a. If rented, how long is your lease? Will you still be able to care for the dog after your lease has expired?
33. What outside space will the dog have access to? Fenced yard / Enclosed patio / Balcony / Dog house / Unfenced common area / Other
34.How secure is the garden / outside space?
35. Height of wall at its highest/lowest points
36.What is it constructed of, brick, wood, hedging?
37. Is the garden / outside space secure or are any repairs needed to make it secure?
38.Are there any gates? Are they secure?
39.Does anyone from outside the family have access to this area? E.g. gardener, neighbour.
40.Have you ever had a problem with a neighbour and your pets? E.g. has anyone ever deliberately killed one of your pets?
2 Little Angels Rescue BG Registered Animal Welfare Charity No. 176001166 www.littleangelsrescuebg.org | email: [email protected]
About your dog’s lifestyle:
41. Will the dog be left alone for long periods? If yes, how long? If needed, is there someone who can come in and toilet/walk the dog?
42.Where will the dog stay when it is at home alone? i.e. will it have the run of the house, a specific room or be put in a crate?
43.Is the dog to be an indoor or outdoor dog? Where will it sleep at night?
44.What kind of daily exercise would your dog be likely to get? E.g. Short walks / Vigorous walks / Hike or jog regularly
45. If you are a new dog owner, do you understand the basic requirements of a dog e.g. exercise, food, love, health checks (teeth, claws, parasites such as fleas and worms etc) or would you like our guidance on these aspects?
46.Do you have access to a local vet? (Please provide contact details
47. Do you plan to take out pet insurance?
48.Do you have access to transport?
49.Are you aware of the cost implications of owning a dog? i.e. possible neutering/spaying costs, insurance costs, medical costs. (Bearing in mind that the life span of the dog could be 20 years or even more)
50.If the dog is too young to be sterilized prior to adoption, will you get the dog sterilized when old enough? Y/N if no, what steps will you take to ensure no breeding takes place?
51. Are you willing to work on any behaviour and/or educational issues that may arise during the dog’s life? Would you access training classes if needed?
52. Are you willing to live with hair on the furniture and carpets, a dog on your bed, an animal that could be destructive at times?
53. Please tell us a little bit about yourself, what you like doing, the kind of activities you envisage doing with your new dog:
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