Form

Foster/Adoption Application

Please complete the application below. We will then contact you to organise a homecheck with you so that we can match the best dog to your lifestyle and home.

Present Address *

Living Arrangements - step 2
Years at present address
Do You live in a House / Flat / other ?
Are you currently employed? *

Yes No
Is your property owned or rented ( Rented properties require the permission of there owners)
proof from owner / landlord of permission will be needed at home check
DO YOU HAVE A SECURE GARDEN AND DOES YOUR HOME LEAD DIRECTLY ONTO THE GARDEN?(back or front door opens straight into the garden)
(hedges are not secure. 6ft solid fencing with a gate that locks is preferable)
How many people live at the property ?
Is there any one under 16 or over 65 years. (please supply the ages if YES)
Do you have young or elderly visitors? (Please supply the ages and how often they visit roughly if YES)

Other Family Pets- Step 3
DO YOU CURRENTLY OWN ANY OTHER DOGS? *

Yes No
If yes please tell us breed / sex / age ? and if they are Neutered or not? *
Do you currently have any other animals?
If so please tell us what animal they are (i.e rabbit, cat, fox) how long you have had them, if they are insured and if they are neutered.
Are you looking for a Female or Male? *

Female Male Either
Do you have any specific timescale in mind for the addition of your new family member *

Extra Infomation - Step 4
0ther infomation you think might help your application
It is our aim to try and match dogs to a family with a suitable home and lifestyle

and the more information you can give us the better our chances of matching the right dog to your home and lifestyle.

Authorization - Step 6
Application Completed *

- Month - Day Year
at
: Hour Minutes
Electronic Signature *

First Name Last Name
By clicking the submit button, I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if accepted, for foster or adoption (falsified statements on this application shall be grounds for dismissal).

I authorise Balto and Co to carry out a homecheck for any information they may need, personal or otherwise, This online application is for and used by Balto and Co and their external home checking team. Information on how we use your details given in this form can be found at www.baltoandco.co.uk/policy
I have read and agree to the above statement and agree to my information being held on Balto & Co Dog Rescues database which will allow them to complete their checks and will not be sold on to any parties. *

I agree and authorise them to keep all information in this form on the Balto & Co Dog Rescue database
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Foster/Adoption Application