Application to adopt a foster beagle

Full Name

Your Home Address - NOT PO BOX

Email Address

Phone Number - Home & Mobile (so we can call you to discuss your application)

Have you owned a beagle before? Have you owned a beagle before? Yes No

Where is that dog now? Where is that dog now? Heaven Surrendered to a Shelter Rehomed At our home

Please tell us when and for how long you had your beagle(s)

What is your knowledge of the breed?

Have you owned a dog before (any breed)? Have you owned a dog before (any breed)? Yes No

How long did you own this dog?

Where is that dog now? Where is that dog now? Heaven Surrendered to a shelter Rehomed At our home

What is the name of the foster beagle that you are interested in adopting?

Please advise how many adults live in your home, how many children live in your home and the ages of the children

How many hours a day and how many days per week will your beagle be home alone even if there is a companion dog(s)?

Are you employed? Are you employed? Full Time Part Time Student Retired Unemployed

Do you have any other pets? Do you have any other pets? Yes No

Please confirm type eg dog or cat, breed, sex Male/Female and whether desexed

In your opinion which of the following circumstanced justifies surrendering a pet? In your opinion which of the following circumstanced justifies surrendering a pet? Moving house Personality clash with another pet Escaping form the yard Children have lost interest Lack of time Medical reasons Fears for the safety of a new baby Family break up Coat shedding Financial problems Toilet training problems Excessive barking Fear of pet being lonely whilst working Other behavioural issues None - a pet is for life Other

What other reasons?

What type of home do you have? What type of home do you have? House Town House/Villa Unit Acreage

Do you Do you Own Rent Live with parents

We will need documentation from your landlord stating that you may keep a dog indoors at your home before any trial can take place

We will need your parents approval for this application befeore any trial can take place

Do you have secure fencing AT LEAST 1.5m high, and secure gates at least 1.5m high Do you have secure fencing AT LEAST 1.5m high, and secure gates at least 1.5m high Yes No

Please describe the fencing and gates at the property

What is the approx. size of fenced area where your beagle will have access to and be secure?

Do you have a pool? Do you have a pool? Yes No

Is it fully fenced ? Is it fully fenced ? Yes No

Will your beagle be allowed inside? Will your beagle be allowed inside? Yes No

Where will your beagle sleep?

Do you agree to provide veterinary care for your beagle, and to administer flea, tick, worming and heartworming medication at the appropriate intervals? Do you agree to provide veterinary care for your beagle, and to administer flea, tick, worming and heartworming medication at the appropriate intervals? Yes No

Would you agree to a home inspection? Would you agree to a home inspection? Yes No

Is there anything else you would like to tell us about your application?

Please provide the names and contact numbers of 2 personal referees - EXCLUDING FAMILY MEMBERS. We will only make contact if we offer you a trial

Please provide the name and number of your usual vet