Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Age(s) of people in the home *

select all that apply

Under 20 years old

20-35 years old

35-50 years old

50-65 years old

Over 65 years old

Do you/your partner work? *

select all that aply

Yes - full time

Yes - part time

Yes - other

No

Are there any children living at this address? *

Yes

No

Type of property? *

House

Bungalow

Flat/apartment

Other

Does your home have a garden? *

Yes

No

Is your garden/yard securely fenced in? *

Is your garden/yard securely fenced in?

Yes

No

If securely fenced, how tall are your walls/fences at the lowest point?

under 4ft

4 ft

5 ft

6 ft

Over 6 ft

If rental accomodation, do you have the landlord's permission to have a dog at this address? *

Yes

No

Not applicable (you own the home)

Are you aware of the ongoing costs involved in keeping an animal? *

(i.e. vaccinations, worming, feeding, flea control and any other vet treatment which it may require?)

Yes

No

I acknowledge the following: *

your new dog has been vaccinated, microchipped, passported, blood tested for Leishmania, Fliaria, Ehrlichia, Lyme, and dewormed, as well as given flea treatment and will be sterilized/neutered. If it's a puppy under 6 months, then no blood tests will be taken

I acknowledge and have read the above

I understand that a donation is to be paid for a dog or puppy and this is a small contribution towards upkeep and vet treatment *

Yes

No

I give permission for a trusted volunteer to complete a home check on my property when and if needed *

Yes

No

DISCLAIMER *

You understand that the dog will be rehomed as a pet and is not to be kept outside whether chained or left in a kennel. The dog is to be a companion and not used as a guard dog or for breeding purposes. Hope for Podencos retains ownership of the dog, and reserves the right to reclaim the dog if it is suspected that it is not being fed, housed or cared for to the satisfaction of the rescue. Should the dog ever leave your care, it must be returned to Hope for Podencos BY PRIOR ARRANGEMENT or a new home must be vetted by Hope for Podencos. You understand that you retain the full liability for any vet fees incurred from the time of adoption unless the dog is on foster scheme. You understand that although we tell you everything we know about a dog we are rehoming, we do not always have a complete history and therefore we cannot guarantee health/behavior 100%. Hope for Podencos will provide ongoing support to all adopters of their animals. It may take 6 months or more for a dog to settle in to its new home. I understand that Hope for Podencos cannot refund any money after the adoption.

I understand and have read the above