West Wales Poundies Adoption Form
Please read the Rehoming policy and Terms and Conditions before completing this form.
Full Name
*
First Name
Last Name
E-mail address
*
example@example.com
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Town / City
*
Post Code
*
Country
*
Please Select
Wales
England
Phone Number
*
Date Of Birth
*
-
Day
-
Month
Year
Date Picker Icon
How long have you lived at this address?
*
What dog are you applying for?
Leave blank if you don't have a specific dog in mind
If that dog isn't available, what breed / type of dog will you consider?
What type of area do you live in?
*
Rural
Urban
Other
What type of property do you live in?
*
e.g. Apartment, detached house
Do you own or rent the property?
*
Own
Rent
If your property is rented, do you have proof from your landlord that you are allowed to home a dog?
*
Yes
No
Not applicable (house isn't rented)
How many adults live at your property?
*
How many children live at the property?
*
What are the children's ages?
Do the children have contact with the dogs?
Yes
No
What are the ages of any children who visit the property?
Do you work?
*
Yes
No
Retired
What is the occupation of you and your partner?
*
e.g. Nurse and teacher
What are the working hours of you and your partner?
*
Do you have a secure garden?
*
Select an answer
Yes
No
What is the size of your garden? (Approx)
*
What is the height of the fence / walls in the garden? (approx)
*
Please provide a picture of the garden and fencing / walls if you can
Upload Pictures
Drag and drop files here
Choose a file
Cancel
of
Do you have any dogs at the moment?
*
Yes
No
What are the breed and ages of your current dog(s)?
What is the temperament of your current dog(s)?
*
Are your dogs vaccinations up to date?
*
Yes
No
Not applicable
Are all dogs Neutered/spayed?
*
Yes
No
Not Applicable
If current dogs are not neutered/spayed please state the reasons why?
*
It is unlikely we will rehome dogs to homes where resident dogs are not neutered (unless its for medical reasons that can be verified with your vet). Please do not proceed with your application if your resident dogs are not neutered (and are not exempt for medical reasons).
All resident dogs must be able to travel by car to our kennels in Llansawel to meet the dog(s) you'd like to adopt. There will not be any exceptions to this.
*
Ok, no problem
This won't be possible, my dog doesn't like to travel
Not applicable, I don't have a dog currently
Do any dogs visit your property regularly? If so, please give details of breed, age and temperament
*
Do you have any Cats at the moment?
*
Yes
No
Do your neighbours have any children?
*
Do your neighbours have cats? Please state how many if so.
*
Do your neighbours have dogs? Please state breed and the number of dogs
*
Is anyone in your household banned from keeping animals?
*
Yes
No
What dog breeds have you owned before?
*
If you have not had a dog before, please give details of any dog experience you have
Would the dogs have full run of your home?
*
How long would the dog be left on its own and where would it be kept?
*
Where would the dog be kept when you are out?
Where would the dog sleep?
*
Who / How long would you exercise the dog?
*
Do you drive?
*
Yes
No
Are the whole family available to meet the dog?
*
Do you agree to us contacting your vet for a reference?
*
Yes
No
I'm not registered with a vet (yet)
What is the name of your vet practice?
*
If you aren't registered with a vet yet, write the name of the vet you think you will register with
Name of pet(s) registered at the vet practice
*
Vet Practice Address
*
Vets Telephone Number
*
Are you prepared to take on dogs with issues? E.g. Reactive to other dogs/food, Medical issues etc. please Please provide details.
*
Is there anything else you would like us to know?
Do you have any applications in progress with any other rescues? If so, which ones?
*
Today's Date
-
Month
-
Day
Year
Date Picker Icon
Do you agree to abide by the Rehoming Policy and Terms and Conditions?
*
Yes
No
Do you agree to abide by our terms and conditions?
*
Yes
No
Have you read our rehoming policy?
*
Yes
No
I am aware that I will need to visit the kennels on 2 occasions before rehoming a dog.
*
Yes
No
I am aware that WWP only rehome in Wales and England
*
Yes
I am aware that I will only be contacted if WWP decide to proceed with a homecheck (usually within 10 days). We are unable to reply to every application.
*
Yes
If WWP decide to proceed with my application, I consent to a volunteer carrying out a homecheck at my property, with a focus on the suitability of the garden boundaries and fencing
*
Yes
No
I consent to sharing my information with WWP and their volunteers and agree that I can be contacted via email and phone.
*
Yes
Submit
Should be Empty: