Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Address
*
Main Telephone Contact
*
DATE OF BIRTH OF MAIN APPLICANT
*
WHAT ARE THE AGES FOR ALL ADULTS IN THE HOME?
*
ARE THERE CHILDREN IN THE HOME UNDER 18?
*
IF YES, HOW OLD ARE THEY?
DO OTHER CHILDREN VISIT REGULARLY?
*
IF YES, HOW OLD ARE THEY AND HOW OFTEN DO THEY VISIT?
PLEASE PROVIDE DETAILS ABOUT YOUR OCCUPATION AND WORK SCHEDULE
*
HOW MANY HOURS WILL THE DOG BE ON ITS OWN AT MOST?
*
HOW OFTEN WILL THE DOG BE LEFT?
*
AS A HOUSEHOLD, HOW OFTEN DO YOU HAVE VISITORS? (INCLUDING CLEANERS, CARERS, GARDENERS, ETC.)
*
Never
Rarely
Occasionally
Regularly
Often
Daily
PLEASE GIVE DETAILS ON THE VISITORS
*
DO YOU HAVE YOUR OWN TRANSPORT?
*
If you do not have your own transport, are you able to come to the kennels to meet a dog?
WHAT TYPE OF PROPERTY DO YOU LIVE IN? (E.G. HOUSE, FLAT, BUNGALOW, ETC.)
*
Semi-detached
Detached
Bungalow
Cottage
End of Terrace
Terrace
Flat/Apartment
Other Property type
IF YOU LIVE IN A FLAT OR AN APARTMENT, WHAT FLOOR ARE YOU ON?
Ground Floor
1
2
3
4
5
6
7
8
9
10
Do you access your property via Ground Floor, Stairs or Lift?
Ground Floor
Stairs
Lift
DO YOU HAVE DIRECT ACCESS TO A PRIVATE OUTSIDE SPACE FROM YOUR PROPERTY?
*
DOES THE OUTSIDE SPACE BELONG TO YOUR PROPERTY OR IS IT SHARED WITH OTHER HOMES?
*
It belongs to my property
It is shared with other homes
ARE YOU A PROPERTY OWNER?
*
Yes
Renting
Living with parents
Living with friends
If you are not the property owner do you have permission from the landlord to have a dog?
PLEASE PROVIDE INFORMATION ABOUT HEIGHT OF FENCING, HEDGE, WALL, ETC.
*
DO YOU CURRENTLY HAVE DOGS?
*
If Yes, please provide details of sex, age, neutered or not.
DO YOU HAVE OTHER PETS?
*
If Yes, please provide information.
IF YOU CURRENTLY HAVE DOGS AND OTHER PETS, WHAT ARE THEIR HOUSING ARRANGEMENTS DURING THE DAY AND AT NIGHT?
*
DO YOU HAVE OTHER DOGS VISITING THE HOME?
*
If Yes, please provide further information.
WILL YOU HAVE INSURANCE OR PAY AS YOU GO?
*
IF YOU ARE INTERESTED IN A PARTICULAR DOG(S), WHICH ONE(S) AND WHAT IS IT ABOUT THIS DOG (OR DOGS) THAT APPEALS TO YOU?
*
IF YOU WERE NOT ABLE TO ADOPT THE DOG YOU ARE MAINLY INTERESTED IN, WOULD YOU CONSIDER ADOPTING A DIFFERENT DOG?
*
DO YOU HAVE A PREFERENCE FOR A MALE OR FEMALE?
*
Any
Male
Female
WHAT SIZE DOG WOULD YOU CONSIDER ADOPTING?
*
DO YOU HAVE ANY HOLIDAY, HOUSE MOVE OR HOSPITAL STAY BOOKED IN THE NEAR FUTURE?
*
WHAT AGE DOG WOULD YOU CONSIDER ADOPTING?
*
FOR WHAT REASON ARE YOU CONSIDERING ADOPTING A RESCUE DOG SPECIFICALLY?
*
WHERE DID YOU HEAR ABOUT RADAR RESCUE?
*
FURTHER INFORMATION
