Pre Adoption Enquiry Form
Name
Address inc Postcode
Telephone Number Land Line(no spaces)
Mobile Number (No Spaces)
E-Mail
How Many Adults In Your House?
How Many Children in Your House?
One
Two
More than Two
How many under 5 Year Olds?
One
Two
More than Two
Have you owned a dog before?
Yes
No
Why do you want a dog?
Which dog are you interested in?
Where would the dog sleep?
Do you have any other animals?
Are any other animals neutered?
Yes
No
Hours a Day the dog would be left
Up to 1 Hour a day
Up to 2 Hours a day
Up to 3 Hours a day
Up to 4 Hours a day
Over 4 Hours a day
Adoption fee is £150 a dog Is this OK?
Yes
No
All the family will meet the dog?
Yes
No
Do you live in a house or a flat?
House
Flat
Is your Home owned or rented?
Owned
Rented
If Rented, will landlord allow pets?
Yes
No
Are you a member of the LDR Forum?
Yes
No
If yes, What is your user name?
Are you a member of Dog Pages?
Yes
No
If yes, What is your user name?