Guardian Angels Dog Rescue – Rescuing and rehoming dogs …
Home Check Application Form
Please complete this form and post to
Christine Recton, 35 Bank Street, Herne Bay, Kent CT6 5EW
or email the completed form to paws@guardianangelsdogrescue.co.uk
Applicant details
|Full name: | |
|Your age: | |
|Contact telephone number: | |
|Email address: | |
|Home address: | |
|Postcode: | |
|(We only complete home checks in | |
|CT postcodes). | |
|Would you like to Foster or Adopt? | |
|Name of the dog you’re interested in (if known): | |
|What type of accommodation do you live in? |
|House/Bungalow/Flat/Mobile Home/Other (please state). |
|Are you a homeowner or tenant? | |
Tenants
|Does your Landlord allow dogs? | |
|Please provide your Landlord’s name and telephone number: | |
|Does your Landlord specify any restrictions? (you may select more than |No. of pets? |
|one). |Size/weight restrictions? |
| |Breed restrictions? |
Outdoors
|Do you have a garden/yard? | |
|Is your garden fenced? |Fully fenced / Partly fenced / Not fenced |
|What is the height of your fence? | |
About your household
|Who lives in your household? |How many adults (18-64)? |
| |How many children (2-12)?* |
| |How many Teens (13-17)?* |
| |How many Babies (0-1)?* |
| |How many Seniors (65+)? |
|*Have your children been around pets before? |Yes / No |
|Do you have visitors under age 12? |Regularly / Occasionally / Rarely / Never |
|Does anyone in your household have allergies to dogs, | |
|or asthma? | |
Pets in your household
|Do you have other pets/animals in your household? | |
|Please give details including other dogs (and whether | |
|they have been neutered), cats, and small furries, | |
|etc. | |
|Have you ever house-trained a dog or puppy? | |
|How many hours each day will your dog be home alone? | |
|Where will your dog sleep at night? | |
How did you hear about Guardian Angels Dog Rescue?
|Google / Facebook / Twitter / Instagram / Printed publication |
|Poster / Advertisement / Friend or Family / Another website |
|Other (please state) |
PLEASE ENSURE YOU COMPLETE THE DECLARATION AND DATA CONSENT ON THE NEXT PAGE TO ALLOW US TO PROCESS YOUR DATA.
Declaration
I agree that:
[pic]I am happy to be screened and interviewed via email/telephone/in person
[pic]I am happy to have a home-check
[pic]I can provide references
[pic]Everyone in my household, including other dogs will come to meet the new dog
[pic]I understand that if at any stage in the adoption process Guardian Angels requirements aren't met, we may be turned down for adoption or a particular dog.
Data consent:
[pic]I consent to my data being stored and processed by this website for the purposes of this application and I confirm that I have read and agree to the organisation's privacy policy.
If submitting this form by email, please ensure you have adequate and up to date anti-virus protection and anti-fraud software in place as Guardian Angels Dog Rescue or any of its representatives, cannot accept any responsibility for data being intercepted.
Please use the following space to tell us any additional information you would like us to know.
| |
| |
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.