Application Form

Section 1 – General Details

Date of Application:

If this dog is not suitable, please outline what sort of dog you are looking for?

Full Name/s:

Full address including postcode:

Telephone number

Email Address

Details of all other occupants of your home

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Section 2 – Family & Pets

Occupations for all members of the household

The normal days and hours of work for all members of the household

Do you work from home regularly? If so, how often?

What is the longest period of time that any adopted dog will be left alone on a regular/ daily basis?

What is the longest period of time that any adopted dog will be left alone occasionally?

Do you have any plans to change your circumstances in the next 6-12 months? If so, please provide as much detail as possible.

Other than your own children, do you have children visiting your house / garden regularly?

If yes, are these children dog experienced / used to dogs / not afraid of dogs?

Will all interactions between young children and the adopted dog always be supervised?

Do you own any other dogs?

If so, what are their breeds and gender? State whether neutered and a general description of their character.

How many hours of exercise / stimulation can you offer daily?

What do you currently feed your dog/s or previously fed?

Is/Are your current dog/s vaccinations up to date?

Is/Are your current dog/s insured?

Are you prepared to insure any adopted dog?

Where would the dog sleep and what type of bed would you offer?

Do you own cats?

If yes, please give ages and indicate if they have lived with a dog before.

Do you own any other pets (e.g., house rabbits, caged rabbits, ferrets, rodents, birds, chickens, horses etc.)?

Are any small animals safely secured in suitable housing?

What arrangements will be made for the adopted dog if you go away / go on holiday / hospitalised?

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Section 3 – Home & Garden

Do you own your own home or rent?

Type of Home (e.g., GF Flat, Terraced, Semi):

How busy is the street on which the property is located?

Does the property open straight on to the street?

Does your home have a garden and if so, how big?

Is the garden boundary fenced or is it hedged or a combination of the two?

How high are the fences / hedges surrounding your property?

How high are any gates? Are all gates secured? Can they be opened from outside the property?

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Section 4 – Previous Experience & Training

Have you owned a dog before?

If yes, please give breeds and gender

Other than owning, what breeds have you any previous experience of (e.g., family dogs, breeds grown up with)?

Was/Were this dog /s adopted or purchased?

If adopted, from which rescue?

Do you wish to adopt a puppy, an adult or an older dog?

Do you have any previous experience of raising a puppy?

Do you wish to adopt a puppy, an adult or an older dog?

Would you consider adopting two dogs needing a home together?

If your adopted dog developed behavioural issues, would you be willing to seek professional help?

Are you aware of the specific needs and character traits of the dog/breed you are applying for?

Are you willing to work through problems such as housetraining, basic training, recall etc.?

Are you willing to adopt a dog that cannot be let off a lead?

Are you willing to adopt a dog who may need to be muzzled when other dogs are around?

Please state in detail, what traits you ARE NOT prepared to accept? (e.g. jumping up, not fully housetrained etc.)

Dog Preference if any – Male or Female

Dog Preference if any - Type/Size

Dog Preference if any - Age

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Section 5 – Other

Have you ever been home checked by another rescue? If so, which rescue and what was the date?

Have you ever had to return a dog to rescue, relinquish a dog to rescue or rehome privately? If yes, please outline the circumstances.

Please give any other relevant information here:

Tell me why you would make the perfect forever home for the dog you are applying for?

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All adopters must agree to the Terms and Conditions of Adoption. A £50 nonrefundable deposit will be taken for us to reserve the dog. The full adoption fee is £300

We recommend the dog/bitch is insured as soon as possible following adoption.

All un-neutered dogs/bitches will be subject to the Adopter signing a Neutering Agreement.

All Adoption donations are compulsory, non-refundable, and are not a purchase of said dog/bitch.

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Opening hours

Mon - Sun: Appointment Only

Where to find us

Norfolk & Suffolk Animal Trust
Fremantle Road
Great Yarmouth
Norfolk
NR30 4AT

01493 855389

Registered Charity No. 295518

Norfolk & Suffolk Animal Trust Exists Because Of You!

Make A Donation

Application Form

Section 1 – General Details

Subscribe to our newsletter

Contact Us

Opening hours

Where to find us

Norfolk & Suffolk Animal Trust
Fremantle Road
Great Yarmouth
Norfolk
NR30 4AT

01493 855389

Registered Charity No. 295518

Norfolk & Suffolk Animal Trust Exists Because Of You!

Make A Donation

Application Form

Section 1 – General Details

Subscribe to our newsletter

Contact Us

Opening hours

Where to find us

Norfolk & Suffolk Animal TrustFremantle RoadGreat YarmouthNorfolkNR30 4AT

01493 855389

Norfolk & Suffolk Animal Trust
Fremantle Road
Great Yarmouth
Norfolk
NR30 4AT