Dog Adoption Form - ISPCA Waterford -

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Please complete all the relevant information.

PLEASE BE AWARE OF A €150 ADOPTION DONATION (The sum partially covers the expense for dogs to be neutered, vaccinated, microchipped and treated for external and internal parasites.)

Name *

Address *

Eircode

Phone Number *

Email:

Dogs name *

Breed of dog *

Describe number and ages of children in the household *

Are there any other pets in the house? If yes how many and their age? *

Do you have a secure Garden, that the dog cannot escape from or be stolen from? *

Yes

Have you previously adopted from a shelter, charity or pound. Please give full details. *

Describe where the animal will sleep? *

How many hours per day on average do you expect the dog to be left alone *

If you are registered with a Veterinary Surgeon please leave the name and address below: *

Is anyone in the household allergic to animals

Yes

Clear selection

Has anyone in the household ever been charged with animal cruelty offences? *

Yes

Has anyone in the household ever had to surrender an animal to the pound or charity in the past? *

Yes

If you live in rented accommodation, do you have the permission from the landlord to keep pets? *

Yes

Not in rented accommodation

Have you any other information that might help us make a decision in your favour?

I confirm I have read ISPCA Waterford animal adoption terms and conditions Terms & Conditions Here and I agree to their rehoming policy.

I am happy to give permission for my details to be passed to another branch or agency if necessary.

I consent to having ISPCA store my information so they can respond to my enquiry.

Yes

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