Which dog are you applying for?

Have you read in full the adoption profile of the dog you are applying for, and have you understood the rehoming criteria? Have you read in full the adoption profile of the dog you are applying for, and have you understood the rehoming criteria? Yes No If you don't meet the criteria for this particular dog your application can not be considered

Do you FULLY meet the critera for rehoming? YesNo

Applicant name

Applicant date of birth

Applicant address

Applicant postcode

Phone

Email

Type of property HouseBungalowFlat/ApartmentMobile homeBoatOther

Do you Do you Own Rent Share Other

Garden Please provide details of your garden size and perimeter security

If rented, you will need to email proof of landlord's permission to [email protected] If rented, you will need to email proof of landlord's permission to [email protected] Yes No

Is your front and rear garden separated Is your front and rear garden separated Yes No

Do you share a communal garden? Do you share a communal garden? Yes No

How tall is the lowest point of your garden fence/wall?

Do you currently own any other pets?

Residents and ages

Occupations

Hours Please indicate how many hours in any one day that the dog will be left alone in the house and if there are any other dogs he/she will be left with

Are your other pets spayed/neutered? Are your other pets spayed/neutered? Yes No

Other pets Please detail any other dogs you may have owned in the past

How often would your dog be walked?

Where would your dog sleep?

Vet name and contact details Please indicate your intended vet for the dog and their address and telephone number

Will you insure your dog? Will you insure your dog? Yes No Please note - insurance is not mandatory, but consideration should be given to the costs of potential bills associated with taking on a dog. If you do not plan on taking insurance cover, then please confirm you have the finance means available to cover both routine and unexpected costs associated with pet ownership.

If yes, please detail your intended insurer Insurance is not a prerequisite

Please indicate how soon you may be able to collect your dog

What are your expectations of rehoming a rescue dog?

Please indicate any experience and/or knowledge you have of the particular breed you are applying for

Please describe your plan of action should you encounter any problems post adoption

Please check which of the following you have experience of Please check which of the following you have experience of Separation anxiety Resource guarding Rehoming of scared/nervous dogs Scent marking Dislike of other dogs Fear/Aggression None of the above

In what situation would you consider it necessary to return your dog to the care of Little Legs? In what situation would you consider it necessary to return your dog to the care of Little Legs? Job loss Breakdown in relationship Behavioural issues Your own ill health Unexpected ill health of the dog Compatibility with other pets Other

Have you applied to adopt from Little Legs before? Have you applied to adopt from Little Legs before? Yes No Please note - insurance is not mandatory, but consideration should be given to the costs of potential bills associated with taking on a dog. If you do not plan on taking insurance cover, then please confirm you have the finance means available to cover both routine and unexpected costs associated with pet ownership.

Please add any information that you believe may assist your application

Agreement *please read carefully before applying Agreement *please read carefully before applying Yes I understand and agree that if my situation changes and I am no longer able to care for a Little Legs re-homed dog, I will contact Little Legs in the first instance to arrange re-homing and new care for my dog. I agree that all members and pets of my household will meet the dog before we can collect. I also fully understand that bringing home a rescue dog is not always easy. There is likely to be a period of adjustment and teething problems in that time. The responsibility is for you as the new owner to be committed to working through any problems for the adoption to be successful.