Adopt a dog application form - Jerry Green Dog Rescue

About you

First Name

Surname

Which area is the dog(s) you are interested in currently located?

Name of the dog(s) you are interested in

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Contact telephone

Email address

Preferred contact method:

Email
Phone

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There are no right or wrong answers. Every dog is different, just like us!

Your household

Do you rent or own your home?

Own
Rent - JGDR would need to see written permission from your landlord to keep a dog in your home.

Do you have a safe and secure garden for a new dog to explore?

Yes
No

How many people live in your home?

Are there many other dogs living in your area?

Yes
No

Please select the age range of any children who live in the home and/or visiting children (select all that apply):

Please tell us more about the children who live in your household and/or visit:

How often do you have visitors to your home?

Regularly
Occasionally
Other

Do you currently own a dog?

Yes
No

Do you currently own a cat?

Yes
No

Do you have any other small animals or pets?

Yes
No

If successfully matched to a dog, what is the average length of time the dog would be left home alone?

Up to 2 hours
Up to 4 hours
Up to 8 hours

If you work full-time, would you consider using friends/family/dog sitters or walkers to give your dog a toilet break during the day?

Yes
No

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Dog related questions

Have you owned a dog before?

Yes
No, but I am excited to have a dog join our family
Other

What is your ideal breed size? Please rank them in order of preference.

Please rank in order of preference with 1 being your first preference and 5 being your last preference.

	1	2	3	4
Small	1Small 1	2Small 2	3Small 3	4Small 4
Medium	1Medium 1	2Medium 2	3Medium 3	4Medium 4
Large	1Large 1	2Large 2	3Large 3	4Large 4
Extra Large	1Extra Large 1	2Extra Large 2	3Extra Large 3	4Extra Large 4

What kind of walks would you like with your dog companion?

Choose the one which closely matches your ideal dog companion, or describe/tell us more about your ideal walking companion in the 'Other' section

Why do you think you would be a good match for the dog(s) you are interested in?

The adoption process can be quick. Do you have any upcoming plans, such as moving house, planned holidays, pregnancy, new arrivals etc.? Please tell us below:

Is there anything else you would like to tell us which would support your application?

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As part of the rehoming process, the adopter agrees to pay a rehoming fee of £385 (or if adopting a puppy up to 20 weeks old, to discuss rehoming fee upon successful application as this fee can vary). This fee supports Jerry Green Dog Rescue in continuing to provide care and support for dogs in need. It contributes towards essential costs including veterinary treatment, food, shelter and ongoing welfare provision. Please note: This payment is a rehoming fee and not a donation. It covers the bespoke services provided through our Meet&Match® process, designed to ensure the most appropriate welfare-focused match between each dog and their new home.

Rehoming Fee Agreement

Do you agree to pay the rehoming fee?

Yes
No

If you are unable to meet the full rehoming fee, Jerry Green Dog Rescue may, at it's discretion, discuss alternative arrangements. Would you like to discuss this further?

Yes
No

Would you be happy for us to keep your record on file for up to two months should we find another suitable match for you?

Yes
No

You will receive confirmation of your application but unfortunately, we are not able to get in touch with every applicant.

If you do not hear from us, then we may feel you're not the pawfect match for this dog but you will receive confirmation via email, if this has not been received, please do check your Junk/Spam folders. However, that does not mean that you wouldn't be perfect for another of our dogs, so please fill in more "Interested in a Dog(s) Form" should another one of our dog(s) catch your eye.

I understand that if Jerry Green Dog Rescue have not been in contact, then I may not have been the pawfect match for this dog.

Because you care about the work of Jerry Green Dog Rescue, we’ll contact you via post and telephone to keep you updated about the difference your support is making, as well as keeping you up to date with the latest appeals, events and opportunities that may interest you. Would you like to hear from us via email?

Our Promise: We keep your data secure and confidential in line with our privacy policy. You are in control and can opt out from our communications at any time – you can find the details online at: https://www.jerrygreendogs.org.uk/privacy-policy

Yes
No
Already Subscribed

Interested in one of our dogs?

About you

Your household

Dog related questions

Rehoming Fee Agreement