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Pre-adoption form for a puppy

Adoption form English

Please fill in this form as accurately as possible

It takes some time, but it can be a guide for both you and us to get an impression of which puppy might suit you best. Keep in mind that you are adopting a puppy that has been in a shelter. These puppies need to get used to the sounds and bustle of the Netherlands. Give them time, and with patience, commitment and love they will adjust.

Puppy details

The puppy's name you are applying for *

Submission date

Personal details

First and last name *

Date of birth

Address and house number *

Postal code *

City

Mobile phone *

E-mail *

Family & household

How many people are in your household?

Which children?

Age of the children?

Are the children used to puppies?

Does everyone in the family agree on adding a puppy?

Do you or a family member have allergies or asthma?

Medical or psychological issues or allergies?

Any limitations that make walking difficult? (No / Walker / Wheelchair / Cane / Steep stairs / Other)

Back-up

Do you have a back-up if you cannot care for the pup? *

Who is your back-up?

Work

Do the applicant, partner or other household members work?

Any upcoming changes in working hours?

If so, which days and hours? Total hours? (applicant and partner) *

Which days and how many hours will the pup be alone?

How much time to train the pup to be alone first?

Do you have a solution if the pup struggles with being alone?

Current pets

Do you have experience with dogs?

Do you currently have (other) pets?

Is your dog/cat social with other dogs?

Are these dogs sterilised/castrated?

How old is your pet?

Have you ever had to rehome a dog?

If you have cats, are they afraid of dogs?

Other pets running loose?

Housing situation

You live in *

Flat with or without lift?

Which floor do you live on?

Does your house have a garden?

Is this garden fenced?

If yes, how high is the fence?

Where will the pup sleep at night?

Where in the house may the pup come?

Maximum time alone for a pup?

Where does the pup stay when you're not home?

Motivation & expectations

What is your goal in adopting a puppy? *

Why do you prefer this pup?

Your expectations — male/female, child-friendly, active/calm, size, …

Experience with behavioural problems and how handled?

Do you plan to follow a course with the pup?

Upcoming plans that affect the adjustment period? *

If yes, what kind of changes?

Care & finances

Willing to hire a sitter or dog walker if needed?

Who cares for the animal when ill?

Sufficient financial resources for the vet? *

Liability insurance covering dogs?

Aware of

Not every pup can/dares to walk stairs *

The dog may not be house-trained / fearful at first

Many things will be new for the dog

Unexpected medical costs may occur

You will deworm the pup regularly (e.g. Milbemax)

Familiar with Mediterranean diseases? (Leishmania, Giardia, …) *

Finally

How did you find us? *

In talks with another organisation?

If yes, which organisation?

Motivate why you think this dog suits you. *

Photos or videos of your garden/balcony/pets? Please email them separately to pup@puppy-rescue-team.nl.

Any questions?

We are happy to help you!

Bel ons op +31 6 23 168 188