Date of Application *

Month/Day/Year

MM

DD

YYYY

Name *

First Name

Last Name

Are you on Facebook

Yes

No

Have you joined our Facebook group? *

https://www.facebook.com/groups/1845644275719733

Yes

No

Are you on the electoral register *

Yes

No

What is the best time of day for FLOOF to complete a home check? *

AM

PM

Weekends

Have you ever surrendered a dog? *

Yes

No

Is your dog happy to share and welcome another dog into their home *

Have you accepted other dogs into your home before and if so was it successful

Yes

Not sure

Dog free

Will you feed a dog the diet that FLOOF advises (e.g. raw, specialist food) for allergies or medical issues? *

Yes

No

Is your property owned or rented? *

Owned

Rented

Other (see below)

If you rent your property, we will need to see your tenancy agreement that states you have permission to have a dog(s). *

PLEASE NOTE; Tenancy agreement will need to be seen before we go ahead with the Homecheck. Please send to floofhomechecks@gmail.com with your postcode as a reference

Yes

Not applicable

Property Type *

House

Flat

Bungalow

Maisonette

Other

Do you have a garden, or access to a garden ? *

Yes/own garden

Yes/shared garden

Access To

No

Is the garden secure ? *

Yes

No

Do any children regularly visit your home ? *

Please note that a household with young children may not always be a suitable environment for some of the dogs that come into FLOOF, owing to their previous circumstances or experiences.

Yes

No

Have you owned dogs before ? *

Yes

No

Do you own any other pets ? *

Yes

No

Are you also looking elsewhere for a dog? *

This could be another rescue, selling sites or from a breeder

Yes

No

I give my consent for FLOOF to:- *

Gather, process and store my personal data

Use my personal data in decision making relating to the foster or adoption of a dog

I understand that I may withdraw my consent at any point.

DECLARATION *

I confirm that the information I have supplied in this application is accurate to the best of my knowledge.

I have downloaded and read the FLOOF UK Adoption Trial Guidelines.

I understand that FLOOF UK does not cover injuries and damage in the foster home, but does have public liability insurance covering damage and injuries outside the home.