Adoption Application Form - Scottish Staffordshire Bull Terrier Rescue

Please complete your details below. Forms which are not fully completed will be returned which will delay your application.

1. Your Details

Name *

Address (including Post Code)*

Home Phone

Mobile

Email *

Composition of people living with you: *

Please include names, relationships and ages

Do you have children visiting the home? *

If yes please give ages and how often they visit

Hours of work/study time out of the home for each family member *

Do you have any criminal convictions? *

If so, please give details. This won't necessarily stop you from getting a dog, however if we find out later that you haven't been honest with us, this is likely to have an impact on your suitability to have one of our dogs.

2. Your Home

How long have you been at this address? (in years)

Is this your own home or a rented property? *

Own home
Rented

If your home is rented, who owns your home?

If rented, do you have permission to own a dog?

YesNo

We will need a written letter of proof that you can have a dog. Please request this now.

3. Caring for your new dog

How long will the dog be left in a normal week? (hours per day) *

What provisions are in place if the dog will be left for a long time each day? *

How much exercise would you be able to give a dog? Please specify how many times a day, for how long etc. *

Who will do the majority of the walking? *

Do you have a garden and is it fully secure? *

Yes,secure
Yes, but not secure
No

4. Your other pets

Do you already have a dog? If so please give details - name, age, breed, sex etc.

Do you have cats or small animals? *

If you have other animals are they neutered? (including other dog/dogs) *

If no, please give the reason why not.

5. Dog ownership history

Have you previously owned dogs? If so, please give details including dates.

Have you owned or do you currently own a dog with behavioural problems? *

If so please give details.

Have you ever had to return a dog to a rescue or rehome one of your own dogs?*

If so please give details.

6. Adopting a dog

What is the minimum/maximum age you are looking for? *

How important is it for the dog to be comfortable travelling in a car? *

How soon are you looking to adopt and do you have any plans in the near future that may affect this? *

For example, moving house/new baby/change in working hours/holiday.

Are you prepared to take your new dog/puppy to training classes? *

If so, do you already know which class you would attend, please give details.

Would you be willing to adopt a dog who has a behavioural issue? *

Do you currently have a vet practice you are registered with? If so please give name, address and phone number.

The adoption fee £200. We expect the fee to be paid by bank transfer once adoption is agreed and prior to you taking the dog/bitch. Do you agree to this?

Any dog rehomed by SSBTR must be returned to our care if the adoption doesn’t work out for any reason. Do you agree to this?

Please include anything you feel is important for us to assess your suitability for one of our dogs.

What information we collect about you

We may collect personal information about you. We only collect sensitive information about you when there is a specific reason to do so, and with your consent, or where we have identified an alternative valid legal basis.

Ways we may use your information

We want you to feel confident about your information and how we use it when you support our work and dogs in our care
We do not rent, swap or sell your personal information to other organisations for them to use in their own marketing activities.

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