Name of Dog you are interested in
Telephone No (Optional)
Please describe type of property
Owner or Tenant?
Do you have a garden?
Number of adults living at the property
Number and ages of any children living at or likely to visit the property, e.g. grandchildren, etc.
Details of any other dogs currently living at the property, i.e. breed, age, gender, vaccinated, spayed/neutered?
Describe any previous experience with dogs
Number of any cats living at the property
Are there any planned major changes in your circumstances, e.g. birth, moving home, change of working hours?
Who would exercise your dog, and how often?
Where would your dog sleep?
Would your dog be left alone and, if so, for how long?
Where would your dog stay if you are away from home on holiday, etc.
Current vetís name, address and telephone number, which may be used for a reference, if required
Please give details of any other relevant information related to your lifestyle
|Please add the two numbers|