Adoption Online Form – Colchester K9 Rescue

Full Name *

Address *

Telephone Number *

Email *

Please state clearly the name of the dog you are interested in *

Why are you interested in this particular dog? *

If no particular dog stated we will add your details to a list and contact you if a suitable dog is available. Is this ok *

Yes
No

Veterinary Details *

Please include name, address and contact number.

Do you rent or own your home? *

Rent
Owned

Please list the type of property you live in. *

Flat, House, Bungalow, etc.

How long have you lived at your current address? *

Do you have a secure garden? *

If yes, please also confirm the approximate height of your fence.

If rented, do you have written permission to keep a dog at the address? *

Yes
No

Do you currently have any pets? *

Yes
No

Please list the age, breed and if resident dog(s) are neutered or not. List any other animals in the property. *

Are you banned or previously banned from keeping animals? Faced any convictions for animal cruelty? Been subject to investigations for animal welfare concerns? *

Has anyone in your household ever been banned from keeping animals or been convicted for animal cruelty? *

Yes
No

Have you been subject to previous home checks with others rescues? *

Yes
No

If yes, please state the outcome and which rescue it was. *

Do you have plans to move in the near future? *

Yes
No

How many people live in the home? *

Please list full names and ages.

If applicable, is everyone in the home in agreement to adopting/ fostering a dog? *

Yes
No

Do you or anyone else in the home have any health problems or medical conditions that mean you wouldn't be able to look after a dog? *

Yes
No

Do you work? *

If you work, please list working hours and the arrangements in place for the dog when left alone.

On average, how long will the dog be left on it's own per day? *

Do you holiday regularly? *

If yes, please state where the dog will be whilst you're away.

If your application is successful, when can you collect the dog? *

What is your previous experience with dogs? *

Have you ever raised a puppy? *

Yes
No

Have you ever trained a dog? *

If yes, please confirm the methods used.

Have you ever dealt with aggressive behaviour from a dog? *

Yes
No

If your new dog was to display any "difficult" behaviour or aggression issues, please describe what steps you would take to deal with this? *

If we rehome a dog to you that hasn't already been neutered, you will be required to sign an agreement to spay or neuter the dog, this MUST be done ASAP. *

Agree
Disagree

Are you prepared to cover all future vet fees for the dog from the date of adoption? *

Yes
No

Are you prepared to work with a behaviourist if any problems arise after adoption? *

Yes
No

We require a NON refundable donation of £400 per dog or unless amount is agreed otherwise with an approved admin. Are you prepared to pay this? *

Yes
No

Please note: The adoption donation from each dog goes towards the ongoing cost of caring for other rescue dogs and the operation or rescue including vet treatment, feed, bedding etc

We require all our adopted dogs microchips to be registered and kept up to date on the microchip database. When out in public the dog must wear an identification tag with clear imprint. You are to keep your dogs best interest in all situations, to keep them safe and under control at all times. Not to use your dog to cause stress or concern to members of the public. Do you agree? *

Agree
Disagree

If the adoption is unsuccessful, the dog must be returned to Colchester K9 Rescue. Under NO circumstances is the dog to be passed onto or sold to anyone else or euthanised without consent from Colchester K9 Rescue approved admin. Do you agree? *

Agree
Disagree

If for any reason the dog needs to be rehomed, you agree to notify admin and care for the dog in the home until we help you find the dog an approved home. Do you agree? *

Agree
Disagree

All successful applications must complete a home check and provide proof of address and photo ID. Do you agree? *

Yes
No

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