Your Details Phone / Mobile Number * Email * Where did you hear about us? *
Please check at least one or more of these options to help us manage our communication and marketing. We try and spend as little as possible on administrative costs, this will help a great deal.
Other, please state: Information about your adoption choice Information about your home Your home status *
Please be aware that you will require permission from your landlord to keep a pet. You will need to provide proof of this permission.
Is the garden secure from escape? * Provision to prevent escape
Please provide details of provisions to prevent escape
Information about your family How many adults live at home? * How many children live at home? * Age of children * If yes, please state their age Please state their gender Breed and age of your dogs How long have they lived with you? Have they been vaccinated within the last year? Do you own any other pets, if yes, please state
Please add a description of your pet(s), it's age and gender.
Information about your lifestyle Are you planning any of the following? Your ideal dog would: Be comfortable around children * Like travelling in a car * Enjoys being picked up/petted * Your experience I need a dog that has already been trained * I have trained pet dogs before * I am an experienced owner and could train a difficult dog * I am a first-time dog owner/fosterer * I would enjoy training a dog * Whilst every care is taken to find the right dog for you, we cannot guarantee behaviour. Your home How long have you been a resident at your current address? * Name and area of the Veterinary Practice you use/last used? * Are you prepared and in a financial position to seek veterinary advice on routine vaccinations, worming, flea control and to cover those unexpected cost regarding your new pet's health? * Identification and proof of address Please indicate which form you are able to provide * Other form of identification; please state: You have chosen to take the next step in the process of giving a new home to one or more of our animals. Our questions are specifically aimed to provide more information to further help St Giles Animal Welfare staff and volunteers with the 'Perfect Match' process and will be given to the Home Visitor to assist with your application. GDPR Agreement *