HOME CHECK FORM FOR PETS2ADOPT

https://www.facebook.com/groups/pets2adopt

Date & Time

Name of the dog *

Adoptor's Name *

First Name *

Last Name *

What is your age? *

Phone number/Mobile number *

Full Address

Street Address

Address Line 2

City

State / Province

Zip / Postal Code

Country

Period of Time at current address: *

Email *

Occupation: *

Name & occupation of partner (if applicable):

Hobbies & Pastimes:

Personal Reference: Name , Phone No , Email Address:

What is your preferred type of communication

Email

What΄s up

FB Messenger

For contact by messenger please provide your account name/ link in Messenger

Property

Property Type (e.g House, Flat, Bungalow etc): *

Detached house

Semidetached house

Bungalow

Townhouse

Villa

Flat

Studio

Other

Street Type (e.g main road, cul-de-sac, estate) *

Main road

Cul-de-sac

Estate

Other

Do you have a private fenced yard + size?: *

YES

NO

N/A

Type of fence (e.g metal, wood)

Fence height at the lowest point (if applicable):

Please upload the fotos of the fence in case of House/ balcony in case of flat: *

Do you have a pool/pond?: *

Is it fenced?

How many people live in your household inc you and age of any house resident?: *

If any Children live there, what are there ages? (include visitors):

Does anyone in the home have allergies or other special needs? *

YES

NO

N/A

Do all the members of the family agree to adopt a dog?
Yes No

Do you own or rent?: *

If you rent: Does the Landlord allow the dogs in the property? *

YES

NO

UNKNOWN

OTHER

DOG

Where will your dog spend most of its day (e.g. indoors, outdoors, crate)?: *

INDOOR

OUTDOOR

CRATE

OTHER

If other be specific: *

How active is your lifestyle?: *

Which Rooms are out of bounds?: *

Is the dog allowed on furniture?: *

YES

NO

OTHER

If other be specific:

How long will the dog be alone per day?: *

Do you have any pets now (if yes how many & include any visitors)?: *

If you have pets now, please upload photos of your pets

Where will your dog sleep (be specific)?: *

Are your pets spayed/neutered (if no, explain)? *

As an adult have you owned a dog before?: *

YES

NO

OTHER

If Other-be specific:

If you no longer have, what happened to him/her?:

Have you ever given up a pet before?: *

YES

NO

OTHER

If Other-be specific:

If yes - please answer below:

Who did you give the pet to?:

Why was the pet given up?:

Do any of the costs associated with owning a dog present a financial problem for you (e.g vets bills, vaccines, insurance, chip registration, grooming and general up-keep)?: *

YES

NO

OTHER

If Other-be specific:

Who is your current vet if you have one? Name of Vet Clinic, Phone No: *

What will you do if your dog/puppy chews your carpet, furniture or new shoe’s? *

Are you willing to toilet train your new dog?: *

YES

NO

MAYBE

OTHER

Please explain in details any of your choice: *

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

YES

NO

MAYBE

OTHER

What is your expectation from the dog behavior after it comes to your home? *

What possible reason can make you give the dog back and cancel the adoption, if any known (for example dog behavior reasons, be specific what exactly, personal circumstances changes, newborn , movement to other property, long hours work etc)? *

DISCLAIMER

Are you expecting any changes to the information you have given above?: *

YES

NO

MAYBE

OTHER

Additional information that you think may be relevant?:

Please consent to processing your form and in case of approval to proceed to home check at your property place *

Signature

GDPR COMPLIANCE

We gather your contact details because they are necessary to consider your application for adoption of a dog, assess the dog's suitability to you, assess your property for dog security reasons, and to avoid easily predicted adoption failure that is not in the interest of the dog nor you and to make a conclusion on approval or denial of applications.

All information provided is kept confidential and not disclaimed to any third party except Pets2Adopt volunteers involved directly in the adoption process.

Any application that was denied will be deleted and Pets2Adopt will not keep any of your information anymore.

In case of a repeated application for adoption of another dog, you have to submit all the information again by submitting a new form.

Contact us:

https://www.facebook.com/groups/pets2adopt

pets2adopt@cytanet.com.cy

FOR OFFICIAL USE:

Home Check Approved or Declined

APPROVED

DECLINED

Reasons if Declined:

Name of Home Checker:

First Name

Last Name

Phone number of Home Checker:

Email of Home Checker:

Signature

Remove Captcha