CDR ADOPTION FORM

Date *

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Please note : All questions must be answered fully. Please write 'NONE' in boxes if not applicable to you.

Dogs/puppies are fun, loving, playful, expensive and a LOT of work. Please be sure that you can make a commitment to the care of the dog/puppy before you decide to adopt.

Name of dog you are interested in: *

Your Name: *

Home Phone: Mobile: Work: *

Address: City: *

Post / Zip Code *

Occupation *

Email address *

Your Age *

Where you live, Do you: *

Own a house Rent a house Own an apartment Rent an apartment Other (please specify in the box below)

If you rent - Landord's name and phone number: *

Do you have a private fenced yard? *

Yes No

What type of fencing and how high is your fence (at the lowest point?) *

If you do NOT have fencing, how do you propose to let your dog run securely and freely outside? *

How many members in your household including yourself? *

If children, how many and what are their ages? *

Do you houseshare or do you have a room mate? *

Houseshare Room mate None

Will your dog be a *

Pet/Companion/Family Member Guard Hunter/Working

Where will your dog spend most of his day? *

How active is your lifestyle? *

Very active Somewhat active Not active

Will your dog be allowed on the furniture? *

Yes No

Which rooms, if any, will be off limits to your dog? *

Is anyone home during the day and for how long? *

How many hours will the dog be alone during each day? *

Where will your dog sleep? (be specific) *

Do you already own a dog? If so, please enter: Age, Sex, Breed below: Or answer NO. *

Do you have any other Pets? If Yes, please enter species and ages in the box below: *

Are your dog / pets spayed or neutered? If NO, then give reasons: *

Yes No

Cyprus Dog Rescue insists on the spaying or neutering of all adopted dogs/puppies within three months of ownership, with a receipt forwarded to us from your vet to confirm that this has been carried out.

If you no longer have a dog, what happened to him/her? *

If you can no longer keep your pet, Cyprus Dog Rescue MUST be informed at all times of a change in circumstances and the dog must be returned to one of our chosen volunteers.

Have you ever given up a pet before? *

Yes No

If YES, did you: *

Give to or sell to a relative Give or sell to a friend Advertise and find a new home Other - please specify in the box below

Does the cost of vaccinations, medical care, licensing, grooming and/or general up-keep of your dog present any financial problems for you? *

Yes No

Who is/will be your Vet? Name, address and tel. no. *

What will you do if your new dog/puppy chews your carpet, funiture and/or your favourite shoes? *

Are you willing and physically able to toilet train your new dog/puppy and be patient and take him/her outside in the garden at very regular intervals to avoid accidents in the house. Are you prepared to get up early to let them out? *

Yes No

Are you willing to attend dog/puppy obedience/training/socialisation classes? *

Yes No

Are you willing and prepared to make a commitment of 10-18 years to this dog? *

Yes No

Thank you for your interest in one of our rescue dogs and for the submission of your Application. PLEASE BE ADVISED THAT COMPLETING THIS QUESTIONNAIRE IS NOT A GUARANTEE OF ADOPTION. Also, please understand that Adoption questionnaires are reviewed with the sole intent of making the best long-term companion match possible.

I certify that I am at least 18 years of age and the information I have given is true. I recognize that any misrepresentation of facts may result in my losing the privilege of adopting a companion animal and I understand that Cyprus Dog Rescue has the right to deny my application.

I am fully aware that I am adopting a living, sentient animal and as such, that Cyprus Dog Rescue, whilst taking every precaution within their means, is unable to guarantee the health of any animal.

If an adopted animal becomes ill, I hereby certify that I am financially and/or emotionally prepared to treat this animal in my care and at my own expense.

Please review the Adoption Notes below, after which you may sign the Adoption form and then press the Submit button which will automatically send your questionnaire to Andrea Siddons at Cyprus Dog Rescue.

ADOPTION NOTES:

Please be aware that on approval of an adoption application, we ask for £100 (UK) or €150 (EU) non-refundable deposit to begin the dog's passport procedures. The balance of £350 (UK) or €350 (EU) is to be paid on confirmation of flight booking. Payments can be sent to:

PAYPAL: andreasiddons@gmail.com

Cyprus Dog Rescue will endeavor to carry out a home check with one of our volunteers within 2 weeks of submission of an adoption form.

Cyprus Dog Rescue MUST be informed at all times of a change in circumstances and the dog be returned to one of our chosen volunteers.

Cyprus Dog Rescue CANNOT guarantee the precise age of a dog nor also the breed (or breeds) of a dog, but will endeavour to ascertain such by veterinary advice in Cyprus.

Cyprus Dog Rescue will continue to be in touch wth you and will also carry out a further home visit approximately 3 months after the dog is placed.

Cyprus Dog Rescue reserves the absolute right to refuse any application they deem unsuitable.

Cyprus Dog Rescue asks that the dog be seen by a vet within 5 days of being homed. The microchip data should then be transferred onto the UK or appropriate microchip database and confirmation sent to:

andreasiddons@gmail.com

We want your dog to settle in quickly but some dogs do take longer than others, so please do be patient. We do not want dogs returned within a few days of their adoption/foster. You will not see their true characters emerging for possibly up to a month or even longer as they take time to settle in. Be patient with them. If your dog is not very confident, please do not ask too much of him/her. Let them quietly adjust to you and what is to them, their very strange and somewhat frightening surroundings. If you are gentle and understanding in your approach to them during these initial stages, then they will develop confidence and become loving and happy companions for life.

NB Please be aware that everyone in the military must have written permission from their HCSO if they are in a SFA quarter before adopting a dog. Thank you.

Signature / Date

ADOPTION APPLICATION FORM