Adoption Application Form - Bliss Cavalier Rescue

Please complete all fields on this form or the form will not be sent. If not applicable please state ‘not applicable’.

This form is intended to screen potential adopters, if successful a telephone interview will follow.

Dogs Name (required)

Your Name (required)

Your Date Of Birth (YYYY-MM-DD) (required)

Name(s) of partner/spouse and all adults and their ages living at your property (required)

Do you have children or children visiting the property? If so, what are their ages? (required)

Address including postcode (required)

Telephone (landline)

Mobile Number

Your Email (required)

Details of employment please specify all working hours for all adults (required)

What type of property do you live in? (required)

Do you own your home or rent?
Own your homeRent

If your house is rented please send a permission letter stating you can keep dogs in the property from your landlord to [email protected]

Do you have a secure garden?
YesNo

What size is your garden approx? (required)

How high are your fences? (required)

Do you have any gates?
YesNo

Is your garden communal, or does anyone else have access from neighbouring property? Please give details. (required)

Details of all other animals living in your property- age/breed/sex/neutered/vaccinations. (required)

If any of the above animals are not neutered or spayed please state why. (required)

Name/breed/dates for any dogs that you have previously adopted from other rescues. (required)

How much exercise would you be able to give the dog per day? (required)

Name and address of the veterinarian practice you are registered with and intend to register the adopted dog at. (required)

Do you intend to purchase pet insurance? (required)
YesNo

Do you have any holidays booked within the next 3 months? If so please give dates. (required)

Anything else you want to add to your application?

All family members must visit the dog in foster along with any dogs that you already own.

Please be aware that Cavaliers have many expensive medical issues that we may/or may not be aware of at this time. They can be a huge financial commitment. We will inform you of anything that we are aware of prior to adoption.

Ensure that you have read our Adoption Procedure (opens in a new window) and our Privacy Policy (opens in a new window) prior to submitting this application form.