Contact us to arrange an appointment to meet one of our rescue dogs or for further information.

Email: charneyrescue@gmail.com

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Pre adoption form below:

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Address *

Postcode *

Contact Numbers *

Email *

Name of dog/s you are interested in adopting *

Please tick the box to indicate you have read and understood our conditions for adoption

• I/We do not have children under 10 years old living in our home
• I/We have one or more friendly resident dogs already living in the home
• I/We have a securely fenced garden attached to our home
• I/we understand that an adoption will not be approved if the dog will be left at home for more than 4 hours a day.
• I/We understand that the rescue cannot guarantee the safety of other animals such as cats, rabbits, small animals or chickens/ducks with the rescue dog

Type of property *

• House owned
• House rented

If your home is rented do you have permission from the landlord to keep a dog at the property? *

• Yes
• No

Are you planning to move to a new house within the next 12 months? *

Location of property *

• Town or City
• Village
• Rural

Select all answers that apply

Type of property *

• House
• Flat
• Bungalow
• Detached
• Semi detached
• Terraced

Is your home close to a main/busy road? *

Please confirm that all external doors [front and back] have working locks or latches. *

Does your property have a securely fenced garden? *

Please give details of the location and dimensions of the garden/s [front/back] length and depth approximately *

Please confirm that all garden fencing and gates are a minimum height of 6 feet and are in a good state of repair *

Please confirm that all locks, bolts and latches for garden gates are correctly fitted and functional *

Please confirm that all external boundaries and fencing for the property has been closely inspected for gaps and potential dog escape hazards. *

Is your garden used by anyone other than members of the household? [shared garden]. *

Does anyone other than household members have access to the garden? *

How many people live at the property? Please give the number of adults and children *

What are the ages of the children who live at the property?

Do children under the age of 10 years visit the property regularly? *

Has the decision to adopt this dog been discussed with everyone who lives at the property? *

Are there any resident dogs or cats at the property? If so, please give details of breed/size and age of each resident pet.

Are all resident pets vaccinated and neutered?

Please describe the behaviour and temperament of resident pets.

How will you introduce your rescue dog to your resident dog/pets?

Have you ever given up/rehomed a dog for any reason? If so, please give details….

Does anyone in the home have a disability or existing illness that could affect the future care of the dog? *

Is there anyone in the home that has an allergy to pet hair? *

Is there a designated place for the dog to sleep/ rest in the home? Please describe; *

Is there a safe and secure area for the dog if you leave the house? Please describe; *

Who would walk the dog and how often? *

Do you and/or other adults living in the home work? If so please provide information about your working hours. We will not approve an adoption for full time employees unless arrangements are made to care for your dog while you are working *

What arrangements will be put in place if you need to leave the dog for a period over 4 hours, overnight or when on holiday? Please provide details of these arrangements: *

Have you owned a rescue dog before? Do you feel you have had the differences between a UK rescue dog and an ex street dog adequately explained to you? *

Do you agree to use positive training methods to work with your dog? *

Are you prepared to seek advice from a dog behaviourist/trainer or the rescue for issues you may encounter with your rescue dog? *

Please confirm that you understand and acknowledge that the rescue has no previous history for the dog you wish to adopt. Your dog may experience stress related behaviours such as fear or reactivity towards people or dogs it has not met before, separation anxiety, food aggression or resource guarding. If such issues do arise how will you deal with them? *

Do you understand that your rescue dog will need time to settle into his or her new home with you. This could take as little time as a week or up to 12 months. *

Please confirm that you are aware that your dog must be secured safely with a seat belt harness or crate when travelling in the car *

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