www.irishretrieverrescue.com

Irish Retriever Rescue

Application to Adopt

This questionnaire is to assist us in selecting the most suitable dog for you. Please complete all parts of the form and include any other information which may be relevant.

When completed, save the form to your computer and email it to:

Please insert your answers in the right hand column. Where more than one choice of answer is available, please delete as appropriate.

Your Details
Title (e.g. Mr / Mrs / Miss / Ms)
First Name and Surname
Full address and postcode
Contact Tel No. (day)
Contact Tel No. (evening)
Mobile No.
Email address
Date
Transport
Do you have your own transport? / Yes / No
Are you able to travel to meet a dog? / Yes / No
How far would you be prepared to travel? (Please state maximum number of miles)
Property Details
What type of property do you live in? (e.g. house, flat, bungalow)
Are you the property owner? / Yes / No
If rented, do you have the landlord’s permission to keep a dog? / Yes / No
Is your garden secure?
Please provide information about height of fencing, hedge, wall etc. / Yes / No
Property Occupants
Number / Age / Occupation / Hours worked
Adults
Children
Do other children visit regularly?
If so, what are their ages? / Yes / No
Pet Information
Have you previously owned a dog or dogs?
If Yes, what breed(s) / Yes / No
Do you currently have another dog?
If Yes, please state, breed, age, sex, whether neutered/spayed / Yes / No
Do you have other dogs visiting your home?
If yes, please give details / Yes / No
Do you have any other Pets?
If Yes, please give details / Yes / No
What is the maximum time the dog will be left alone?
Where will the dog be kept when you’re out?
Your Preferences
(please note that you can indicate your preference for any of the dogs currently shown as Seeking their Forever Homes on the IRR website who are not marked as Reserved)
Do you have a preference for a dog or a bitch? / Dog / Bitch / No preference
Would you consider a cross breed? / Yes / No
What age of dog would you prefer? / Minimum:
Maximum:
Would you consider taking 2 dogs that have grown up together? / Yes / No
Would you be prepared to adopt a dog who originates from outside the UK or Eire? / Yes / No
Have you applied to any other rescue
organisation for a dog?
If so, please state which one(s). / Yes / No
Have you previously had a home check by another organisation?
If yes, please give details if possible. / Yes / No
How did you hear about Irish Retriever Rescue?
Please tell us your reasons for wanting to adopt a rescue dog and any other information that may be useful for us to know.

Please return this form via email to

When your Adoption Application is received, it will be acknowledged and we will request one of our network of volunteers to do a homecheck. The homechecker volunteer will contact you to arrange a mutually convenient time to visit. It is important that the homechecker meets everyone living in your home and they may bring their own dog(s) with them, in order to complete their evaluation. They will be keen to see where the dog will sleep, and if the environment is safe and secure and conducive to a dog’s happiness and wellbeing.

Do you agree to one of our representatives carrying out a follow up visit to ascertain the welfare of the dog in the future? Yes / No

Please note that should your homecheck be successful and we agree to rehome a dog with you, you must agree to return the dog to us should you be unable to keep the dog for whatever reason.

Useful Notes/Things to Consider:

1  A dog is a long-term responsibility and therefore you must ensure you have the financial means for supporting the dog throughout the whole of its life.

2  We strongly recommend taking out Pet Insurance for your dog.

3  Dogs must be microchipped (if, for some reason, we were unable to already do this).

4  Feeding: we recommend the BARF (bones and raw food) diet. To find out more about this method of feeding, we recommend a book by Dr Ian Billinghurst ‘Give Your Dog a Bone’.

5  Vaccinations: Once the dogs come into our care, they are treated homoeopathically and not vaccinated any further. If you have internet access, please see http://www.canine-health-concern.org.uk/ website to see the horrific facts and photos on the effects of vaccines.

6  The minimum donation per dog will be £300 to cover any treatment, food, transportation, etc. This does not cover the full cost of rehoming a dog. However, we need a minimum donation in order to at least recover some of the costs as at this stage we do not receive any form of funding. Please note that the donation is non-refundable.

IRISH RETRIEVER RESCUE

Registered Charity No 1150320

Thank you for contacting us!

IRRFR008 20/9/2014