Your Name *

(please note all personal/sensitive data will only be saved if an application is successful under GDPR guidelines)

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

We are an equal opportunities rescue. Do you need any help or services as listed below in this application? *

LARGE PRINT DOCUMENTS

voice notes and/or audio files for help with understanding the process

videos and video calls for help with understanding the process

go straight to live chat for messages, replies and support from us

be able to use voice to text (we can show you how) to send messages and replies to us

a proxy (someone to apply for you for medical reasons, or due to lack of tech knowledge). This can be a family member, social or care worker, or qualified other.

to answer any extra queries we may have in email so you can take your time to answer in writing (dictation or typing). (Our email is open 12-12 four days a week.)

have no extra needs and am happy to follow your process of: application form, email contact for proof of statements in the application and any other questions, then connecting on Skype for live support, a video chat and house check.

Are you the applicant or the proxy? (Someone given authority to apply in your name) *

I am the applicant

I am the proxy person but do not have written permission (please get it before you apply and send to lorasqueries@outlook.com)

I am the proxy person and have written permission to apply on behalf of someone for a dog

I/ the person I am applying for wishes to adopt a dog

I/the person I am applying for wishes to foster a dog

I/ the person I am applying for wishes to foster a dog with a view to adopting them (for this option, fosterers must help us to fundraise pre travel treatments and checks as well as travel. Any money donated directly will be subtracted from the adoption donation, is non refundable as it covers legal costs, and cannot be less than the reserve (£75).) To join our fundraising group on Facebook use this link https://www.facebook.com/groups/lorasauntiesanduncles

Is your perfect dog *

small (under 10kg)

small medium (10-15kg)

medium (15-20kg)

upper medium (20-25kg)

large (25-30kg)

long haired

short haired

long legs

short legs

confident/extrovert

calm

couch potato

lap dog

loving

high energy

sensitive

shy/introvert

playful (dogs need to learn how to play properly with toys, humans and animals)

good with kids (but the kids MUST be good with dogs too!)

good with cats (but the cats MUST be good with dogs too!)

good with other dogs (but the other dogs MUST be good with dogs too!)

already walk/recall trained

already toilet trained

male

female

black (we are a black dog rescue)

black and white

black and tan

black and fawn

tricolour or brindle

brown/ brown and black

red or blond/fair

terrier breeds (Jack Russell, Yorkshire, Border etc)

gun dog (sporting) breeds (Retrievers, Labradors, Pointers/Setters, Spaniels)

non sporting breeds (Chow, Poodle, Bulldogs etc)

herding dog breeds (Shepherds, Collies, Corgis etc)

hounds (Salukis, Beagles, Greyhounds etc)

working breeds (Huskies, Rottweilers, Dobermans etc)

toy breeds (Shih Tzu, Bichon, Pomeranian etc)

puppy (6 months to 2 years)

under 2 years old

under 5 years old

5-8 years

8 years and older

If renting or leasehold, you have permission from your landlord or lease provider to have a dog/puppy live on the property? Permission must be obtained in writing and sent to us. Landlords have 28 days to respond to such requests. *

Yes

No

Unsure how to get approval or your approval letter is dated older than six months ago(we will advise)

Can we contact your landlord? (see below) This is only if they are unable to send you pet approval and would prefer to send it to us directly.

Landlord's Name:

First Name

Last Name

Landlord's Phone Number:

Please include area code

(###)

###

####

Are there any babies, toddlers or young children that live in your household?

Yes

No

Are the children experienced with pets? (we will need photo and video proof of this)

All are experienced (resident dog)

Some are experienced (resident dog)

none are experienced and we'd like advise on preparing and training from you

they are experienced but only with other dogs (family/friends dogs. or when out on walks etc) who have not lived with them

Does every member of your household over 21 agree to the adoption of this pet? *

Yes

No

Is any member of your household allergic to animals, dust, bedding or household cleaners? *

Yes

No

Please select the type of living situation you plan for this dog. Note we do not advocate dogs sleep in kennels or cages, (blanket forts and teepees can work very well!) or be chained up or sleep outside: * *

Indoor (Free roam whole house including sleeping)

Indoor (Limited roam, e.g. downstairs including sleeping)

Indoor (Variable roam e.g. downstairs when out but could sleep upstairs)

Would your dog be allowed on the furniture?

Yes

No

Do you have a dog door at your residence? *

Yes

No, but I plan on installing one

No, and I do not plan on installing one

Do you have a private (as in sole use of) a secure fenced or walled garden or yard? *

(Note: secure means minimum 6 foot fences/walls, and a lockable sole use gate in good order). Not having this will not affect your application but we need to know what facilities you have at your residence. Photo and video proof of your answers will be needed here, which we will request should your application pass.

Yes we have a private secure garden

Yes we have a private secure yard

Yes we have a private garden or yard but the fences/walls are not secure as described above. (For example, low fence between neighbours, is made of light material such as chicken wire, or in need of repair. We accept proof of fixing or making more secure must be sent to the rescue in photo and video form before the pup comes.)

No, it's a shared garden or yard but secure as above. The other users of the garden have been consulted and are happy for us to have a dog in the garden provided we keep it clean. We can provide proof of permission from other residents.

It's a shared garden but is not secure as described above. The other users of the garden have been consulted and are happy for us to have a dog provided we keep it clean. We can provide proof of permission from other residents.

No garden at all but we have parks, woods, beaches or other safe public areas and walks close by (walking distance, few/no busy roads to cross preferably) for toilet and walking training

What percentage of the time will the dog be in the garden or yard, or outside, and for what reasons? *

Please note we do not adopt dogs to be security or guard dogs and they must not live outside.

10-20% toilet and recall training only

20-50% or more for play, toilet and recall training

over 50%, we are looking for a dog that loves to be outside (because e.g. we camp or hike a lot)

Do your neighbours have dogs or other pets to your knowledge?

Yes

No

Do you have a sole use driveway or path with gate at the front or main entrance of your home? These questions are to help us get a picture of where you live. *

Please add YES, or make bold/underline the closest description that applies.

Yes

Yes I have a driveway/parking area/path with gate at the main entrance but it's shared with next door/other flat residents/other house residents

No, my residence entrance is on the pavement/road with no front path or gate

Unsure (happy to check for you if you send photos)

Do you have an unfenced/gated swimming pool, river, fish pond or other water on your property?

Yes

No

Do you live on a main road (a road with a 30mph and higher speed limit, and/or with bus stops) ?

Yes

No

Do you live by any of the following. Please note these will not affect your application provided proper care is taken with the dog to keep them safe and we always advise case by case so full background is always needed to provide the best support.

train line or station

dual carriageway or motorway

quarry, mine or power station

shopping centre, retail park, bus station or pub

Please choose the option that best describes your employment status: *

Employed Full-time

Employed Part-time

Unemployed/ In-between Jobs

Retired

Will anyone in your household be home if you or other residents are at work? *

Yes, always

Yes, sometimes

No

At the moment, is anyone always at your home during the day and/or overnight? *

Yes, always

Yes, sometimes

Sometimes no, due to (shift) work

Sometimes no, due to medical or other reasons involving personal or sensitive data

When you go on vacation, trip, or other event (such as a stay in hospital or working away or long hours- more than 8) who will care for your dog? (select all that apply) *please note anyone looking after the dog must be familiar with our rules, terms and conditions.

The dog(s) go with us!

Dog sitter/family member/friend* staying' in the home

Someone to visit/feed, but doesn't stay

Friend or Relative's Home

Boarding Kennel (last resort only! Many of our pups came from awful shelters and kennels could bring back bad memories of being abandoned, hurt or worse.)

Veterinarian

Do you currently have any other pets/animals living in your household? *

Yes

No

If yes, are these animals used to dogs?

Yes, very experienced

Yes, quite experienced

Yes but it's been a while

To some extent (visiting/neighbour's dogs/ walk or doggy daycare buddies etc)

No and we would like advice on how to get them used to dogs

I/We don't have other resident animals

What kind of pets/animals?

Dog(s)

Cat(s)

Bird(s)

Reptile(s)

Livestock

Is the other dog(s) in your household spayed or neutered? All our dogs are usually neutered if over 6 months old, unless they are medically exempted.

Yes

No

Have you ever had a dog before?

Yes

No

How many years of experience do you have as a dog owner?

only as a family pet

1-5 years

5-10 years

10+ years

Have you ever had a dog (or another beloved pet) pass away before?

Yes

No

Under what circumstances would you consider giving up/ surrendering your dog (check all that apply)? Our RBU (rescue back up) is for life.

Behaviour problems

Job change/loss

Dog loses control of bladder/ bowels

Dog does not meet my expectations

Dog nips/bites kids

Old Age

Big vet bills

Moving

Dog develops chronic illness/disability

Dog nips at strangers

Divorce/Separation

None of the above

Do you know the laws on tavelling with your dog on public transport and in a private vehicle?

Yes

No

Do you think it is necessary for your dog to wear an ID tag? *

Yes, all the time

Yes, occasionally

No

Have you ever been responsible for losing a dog (or another pet) before?

Yes

No

If your dog gets out, which of the following will you do (check all that apply)? (Please note all our dogs are registered with Petlog Premium at no cost to you, which includes a free lost dog service.)

Let the rescue know immediately

Search the local area by foot and vehicle

Leave posts on social media lost pet sites

Use lost dog websites and search drones

Check shelters/rescues

Put up signs or posters

Put up ads in local media

Take flyers door to door

In the past, have you ever been forced to give up your dog (or another pet) before? We do not judge but we do need to know this.

Yes

No

What was the surrender process? *

Returned the dog to the rescue

Transferred keepership to a friend or relative

Found pet a new home through outreach

Surrendered pet to local shelter

Surrendered pet to a different animal rescue/ adoption group

Other

not applicable

Are you registered with a vet yet? (You will be provided with all the details to do so before your dog arrives.) And have you looked into pet insurance?

Yes, we have a vet already

Yes, we have looked into pet insurers

No, we do not have a vet yet

No, we have not looked into pet insurers yet

Our vet offers insurance and/or payment plans

We would like advice from the rescue about this/these

Are you prepared to spend the money for proper care of your dog, if needed?

(Note organisations like the PDSA offer lower cost care for adopters on low incomes and fosters have conditions to meet before any costs are covered.)

Yes, whatever the costs

Yes, but within reason or limits

No

A pet requires a lot of people attention. Are you prepared to spend a lot of time with your new pet (for the rest of its life/ time in foster with you) but not see the dog as a toy or novelty)?

Yes

No

ALL APPLICANTS Are you willing to read and follow our guides and rules on how to do settle your dog, and provide regular photo and video updates so we can help support and advise you? This is called the decompression period and our website blogs also give you vital info on how to do this. *

Yes

No

ADOPTERS: Are you prepared to make a commitment to provide love and care for this new pet (up to 15+ years, if time permits)? FOSTERS and ADOPTERS: Do you understand that dogs can take at least 3 months to decompress, and need a consistent, stable base to settle properly and start training? FOSTERS and ADOPTERS Do you understand that dogs can take at least 3 months to decompress, and need a consistent, stable base to settle properly and start training?

Yes, I commit to the care and welfare of the pet

Yes, I understand it takes time to settle a dog in their new home

I have, or will read the rescue blogs on decompression (also available in large print/printable formats)

No (to either question)

If your dog were to develop behaviour issues

(i.e., nipping, biting, barking, digging, stealing, chewing), will you be willing to listen to our experienced team, follow our rules terms and conditions which explain in great detail how to settle a dog into your new home and avoid these issues, or consult a trainer at your own expense to try to rectify the situation before giving the dog up? Any and all known behavioural issues are disclosed in full to all fosters/adopters.

Yes

No

Have you ever trained a dog/puppy in obedience class?

Yes

No

What training methods do you/will you use?

Treats

Activity toys

Mindfulness or positive reinforcement

Telling off if naughty

Removing belongings if naughty

Ignoring if naughty

Puppy pads

Slip leads

Harnesses

Recall/off lead

Exposing the dog to lots of experiences to desensitise

Removing the dog from stressful situations

Agility or other more advanced tasks for your dog

Not sure, and will be asking the rescue for advice

By checking the following boxes, I am agreeing to the following statements: *

All information I shared in this form is accurate and true to the best of my knowledge. Any information given that is found out to be untrue with no due explanation will immediately stop an adoption or foster process, no matter where in the process the application is. This includes but is not limited to document proof not matching the application, information omitted that would make the dog unsuitable for you to adopt, and anything declared on this form.

I understand that filling out this application form is NOT a guarantee of adoption.

If my/our application is approved, and house check passed, I/we agree to pay the reserve (£75) and appropriate adoption donation (£400 for Romanian dogs and £450 for Serbian dogs in total, minus the reserve) to help offset the high cost of travel and legal costs. Adopters do not pay for any aspect of the dog's food, care, treatments, vet visits, vaccinations or pre travel tests before the dog comes into the home, unless we wish to sponsor the dog, which entails a monthly or one off donation.

If sponsoring a dog, being a dog's sponsor is not the same as reserving one and I understand I will not be able to foster or adopt my sponsor dog without going through the application process.

That Lora's Luck Ltd can store your data only on successful application for the lifetime of the dog under full Data Protection laws, including personal and sensitive data. If I move home or change my number/email, I will inform Lora's Luck Ltd as soon as possible.

That I will read, sign, and follow all Lora's Luck Ltd's rules, terms and conditions in compliance with the Animal Welfare Act 2006 if I pass this part of the adoption process.

If I do not match to the dog(s) in this application, or no dogs currently fit the bill, am happy for my details to kept on file and contacted when the perfect dog and human match comes in.

That we will tell no member of the household under 21 that we are applying for a dog until we pass the house check, as the disappointment of not making it that far is very hard to explain to children. Should we pass, we will start to prepare the children/

Date

MM

DD

YYYY

Keep my details *

Only tick yes if you would like us to keep your records on file. If no, your details will be deleted and a separate application would have to be made

Yes, keep my details

No, please delete my detail, i will apply again.