Adoption Application Form

Applicants Details

Please provide us with your details.

Name(Required)

First Last

Address Line 1(Required)

Address Line 2

Town/City(Required)

County(Required)

Postcode(Required)

Phone/Mobile Number(Required)

Email(Required)

Date of Birth(Required)

Age(Required)

Adult 1 – Working Pattern(Required)

Please Select

Adult 2 – Working Pattern(Required)

Please Select

Adult Working Patterns

Are you willing to travel anywhere in England to meet the Dobie?(Required)

Please Select

Are you ready and available to adopt a Dobie Immediately?(Required)

Please Select

If you are not ready to adopt, please select the date when you will be ready

Have you discussed and agreed to adopt a Dobie with your family?(Required)

Please Select

Garden Details

Please provide information about your garden

What size is your garden, please select.(Required)

How high are the fences/walls?

Additional Garden Information

Occupants Details

Please provide details of other occupants in the property.

Are there any elderly, frail or vunerable people living at the property?(Required)

Please Select

Are there any children under 18 years old living at the property?(Required)

Please Select

Are there any children at the property under the age of 6 years old?

Please Select

Are there any children at the property between the ages of 6 and 13?

Please Select

Are there any children at the property over the age of 13 years old?

Please Select

Dog Details

Please provide information of any dogs at the property.

How many male dogs do you have?(Required)

Please Select

Are any of those male dogs entire?(Required)

Please Select

How many bitches do you have?(Required)

Please Select

Are any of those bitches still entire?(Required)

Please Select

Please provide details of your dogs

How many Dobies have you personally owned?(Required)

Please Select

What sex of Dobie would you prefer to adopt?(Required)

Please Select

What age of Dobie would you prefer to adopt?(Required)

Please Select

Do you require a cat friendly Dobie to adopt?(Required)

Please Select

Do you own any other pets

Dog Lifestyle

Please provide details of how you would care for an adopted dog.

How many hours a day will the dog be left at home alone?(Required)

Please Select

Are you willing to use a crate for the dog?(Required)

Please Select

If not in a crate, where will it be left in the house?(Required)

If not in a crate, where will the dog sleep at night?(Required)

Are you willing and financially able to provide paid training for a dog?(Required)

Please Select

Are you physically able and willing to walk the dog daily?(Required)

Please Select

Have you ever adopted any breed of dog from a rescue before?(Required)

Please Select

Please provide any further relevant information in support of your application.

Property Details

Please provide information about your home.

Location of home?(Required)

Please Select

Is your home:(Required)

Please Select

Do you have the landlord's permission to keep a dog?(Required)

Please Select

Landlord's Details

Please provide your landlord’s details so that we can confirm that you have permission to keep dogs at the property.

Landlord's Name

Landlord's Contact Number

Landlord's Email Address

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Photo ID

Accepted file types: jpg, png, gif, pdf, Max. file size: 128 MB.

To assist us with your adoption application, please upload your Photo ID, showing clearly your photograph, name and address.

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