OLD RSPCA Cornwall Dog Adoption Application

Hello and thank you for completing this form. This form loads into our database (and therefore doesn't resemble our website) and our staff will use the form to match you with an animal which we know will meet your requirements. If you have asked about a specific animal then we will be in touch sooner. As the matching process can take time please allow a few days for a response and do not send a new form. Thank you!

*	Please note, only the adopter (over 18 years old) themselves can complete the form - please confirm.
Is everyone in your household aware that you are planning to adopt a pet?	Drop down to select Yes No N/A
Is there a specific animal on our site you are interested in adopting *	NoYes
If yes, please give name and any reference numbers if included.
Title *	Mr Mrs Miss Ms Mx Dr
Your First Name *
Your surname *
Full address *
Town *
Post Code *
Phone Number * Please use the following format 248-555-1212
Mobile Phone Number *
Email Address * Please enter correctly as this is the main way we will contact you
How did you find out about us?	Drop down to select InternetSearch Family/Friend Staff/Volunteer Facebook/Twitter national RSPCA already know you I ama previous adopter I was told about you by my vet
Please check the main reason you plan to adopt a pet: *	Drop down to select Companion Family Pet Child's Pet Guard Dog Companion for another pet Other
If you answered "other" above, please explain here:
Are you happy to allow us to carry out a home visit (Covid rules aside)? *	NoYes
Do you own or rent your home? *	Drop down to select Own Rent Someone else owns the Home Someone else rents the Home
On average, how many hours per day will your pet be left alone?
If you rent, does your landlord and lease allow pets? (If yes, please attach landlord's written permission) *	Drop down to select Yes No Unsure N/A
Please could you list how many people live in your household *
Do you have any children under the age of 16 living at this address? *	NoYes
If you answered "yes" above please list any ages of children under the age of 16
Do you have any visiting children under the age of 16? *	NoYes
If you answered "yes" above please list ages of children and frequency of visits
Please list any other pets you have at present *
Are you looking for a male or female animal? *	Male Female Doesn't matter
Are all of your pets spayed/neutered/fixed? *	Drop down to select Yes No N/A for species
Are your pets up to date on their vaccinations? *	Drop down to select Vaccinated within the past 12 months Vaccinated within the past 3 years n/a for that species no
Dog I am looking for (you can repeat-click this box to select multiple answers) *	A dog who is good with other dogs A dog who is good with cats a dog who is good with kids under 5 A dog who is good with kids over 5 A dog who needs a lot of exercise A dog who can be left for 4 hours or less A dog who can be left for up to 8 hours A dog who is comfortable around people A dog who travels well
What Age of Dog? *	Under 6 months 6 months-2 years 2-5 years 5-8 years 8 years + Any Age
What size of dog *	Toy (e.g Chihuahua) Small (e.g Jack Russel) Medium (e.g Staffie) Large (e.g Labrador) Giant (e.g Great Dane)
Will this pet be predominantly living inside, outside, or both? *	Drop down to select Inside Outside Both
Where will the animal live? *
Tell us a bit about your garden (more than one can be selected) *	I don't have a fenced garden It is fenced to 4 feet (120cm) It is fenced to 5 feet (150cm) It is fenced to 6 feet (180cm) It is a shared garden.
If you do not have a fenced garden, where will you let the animal out?
What would you do with your animal if you had to move? *
What arrangements will you make for the care of your pets in case of an emergency? *
Do you have any plans to holiday away, or move home within the next 3 months? *
What will you do with the animal when you go on holiday? *
Please tell us about anything else you feel is important, including your experience with dogs *
Please attach pictures of your secure garden and property etc to support your application
If you have a document which shows you have landlord permission to keep a pet (where needed) you can attach this (only images can be attached at present)
We would love to keep you updated about our fundraising activities, news and ways in which you can help animals. Do you wish for us to keep you updated? *	NoYes
If you answered YES to the above question, please tell us how you would like to hear from us: Email Phone Post SMS
	Email
	Phone
	Post
	SMS

RSPCA Cornwall Branch.