Adoption Application / Dog Rescue

Full Name *

Email address *

Phone Number *

Your Address *

I confirm that I am 21 years or older *

Yes

What type of accommodation do you live in? *

House
Townhouse
Apartment
Farm
Other

Do you own or rent your accommodation? *

Own
Rent and I have my landlords written permission
Rent and I don't have my landlords written permission

Do you plan on moving accommodations in the next 6 months? *

Yes
No
Not sure

Do you have a secure garden? *

Yes
No

If you answered with "no", please describe your garden

Including yourself how many people live in your home? *

Is everyone living in the household on board with adopting a dog? *

Yes
No
Not sure

Who will be the main person of contact for the dog? *

Will the dog be living with or in contact with children? *

Yes
No

If children are living or visiting your home what are their ages?

Is anyone in your home allergic to animals? *

Yes
No

If allergies to animals are known please give us some details

Do you have any animals at the moment? *

Yes
No

If you currently have no animals, have you ever had pets before? *

Yes
No

Tell us about your animals briefly eg male/female, age, neutered, temperament etc *

Where will the dog sleep? *

Where will the dog be when left when unattended? *

What kind of dog are you interested in adopting *

Puppy
Juvenile
Adult
Senior
Don't mind

What size of dog are you interested in adopting? *

Small
Medium
Large
Don't mind

Do you have a preference for the dogs gender? *

Female
Male
Don't mind

What are your working arrangements? *

Have you got holidays booked over the next six months? *

Are you in agreement to a home visit/video call by us? *

Yes
No

If there is any further information you would like to provide us with regards to your situation please provide it below. *

Adoption Fee *

I understand that there is an Adoption Fee payable at the start of the trial which will be refunded if the trial is unsuccessful.

Personal Information *

I agree that PawSaga can share my information with its team of volunteers if required for the purpose of my adopting a dog.