Adoption Request

Please complete the form as fully as possible.

All mandatory fields are shown with an '*'. Once completed click the 'Submit' button and your form will be delivered to our Rescue/Homing Team.

If you have seen a dog on our web site that you are interested in, please select the dog from list below or leave blank if you have no specific dog in mind

The dog I'm interested in is:

About you

Your first name *

Your last name *

Your address *

Your town *

Your post code *

Your telephone number *

Your mobile number

Your email address *

The best time to contact you

How many adults (16+) live in your home? *

How many children (under 16) live with you?

Are any children of pre-school age? *

How many hours would the dog be left in a normal day? *

Where will the dog be kept? *

What are the work hours for the adults in your home? *

Do you have any other pets? *

Please list any other pets if you have them

Have you owned a dog before? *

Property Type (select all that apply) *

Is your home rented? *

Do you have a garden? *

Is your garden secure? *

How often do you plan to excercise your dog? *

Have you ever had to return an animal to a rescue? *

About the Dog

What type of dog would you prefer? *

What sex of dog would you prefer? *

What age of dog would you prefer? *

Characteristics of dog (select all that apply) *

Please select what areas of basic training you would be willing to work on with your dog. *

We recommend you use a muzzle when out and about till you are familiar with your new dog. Would you be prepared to do this? *

Are you alreeady registered with a vets? *

Will you insure your dog? *

About Costs

Our standard adoption fee is £175. However you can make an additional donation above this. Please select from the next field the statement that best describes your position

Adoption fee options *

Is there anything else you want to tell or ask us?

Please tell us how you heard of GRW *

Please select all ways in which GRW may contact you in future *

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