Pre-Adoption Form

Pre Adoption Questionaire - Refugio del Viento/Shelter from the Wind

Please complete the form below if you are interested in adopting a dog, or you have been asked to fill out our Pre Adoption Questionnaire. The form will be emailed to Sharon who will contact you about your application

Name *

Email *

Street Address and No. *

City and County *

Country *

Postcode *

Telephone 1 *

Telephone 2

Date of Birth *

Which dog are you enquiring about? *

Type of ID (Passport or National Insurance Number or equivalent): *

ID Number: *

Type of Residence *

If there is a garden/terrace, is it secure? *

Rented or Owned – If rented do you have permission to keep a dog? *

Do you have children, if so what age? *

Do you have other dogs? – If so please state sex and size. Are the other dogs Sterilised/Castrated? *

Would you agree to a home check? * ---YesNo

Being a Rescue Dog, if the dog shows anxiety or is not completely toilet trained are you willing to spend time to remedy this? * ---YesNo

How many hours would the dog be left alone? *