Thank you for your interest in choosing to adopt an Akita from the Akita Rescue & Welfare Trust. The next step is to complete the adoption form below.

If you have never owned an Akita before, please ensure that you have done your background research on the breed and breed traits before completing an adoption form.

Section 1: About You

Would you like to adopt or foster?

Adopt Foster Either

First Name

Surname

Your Age

Name/Number of your house

Street name

Town

County

postcode

Contact telephone number

Secondary telephone number

Email address

Email address confirmation

What is your occupation?

If answered Other please give details

If you are a single applicant please go to next section.

First name of second applicant if applicable

Surname of second applicant if applicable

The second applicant is your....

Spouse Partner Relative N/A - I'm applying a single applicant

Occupation of second applicant

If answered Other please give details

Section 2: Who lives in your home?

Number of over 18s in the home

Please specify their ages

Number of children in the home

Ages of children?

Do you have any regular visiting children at your home?

Yes No

If you answered yes, what are their ages?

Section 3: Your home

Accommodation type

House Ground floor Flat/ Apartment with private outdoor access Flat/ apartment with no private outdoor access Other (please state below)

If answered Other please give details

Your home is...

owned rented entirely a shared rental

How long have you lived at this property (in years and months)?

If your home is rented, please be aware that in order to proceed with any adoption/ foster applications, we must see written permission from your landlord. Do you agree to provide proof if required?

Yes No Not applicable (I own my house)

Your garden is...

Large Medium Small None/ communal

What is the longest period of time that the dog would be left during the day?

Where will the dog stay during the day?

Full access to the house Partial access to the house e.g. ground floor In the garden In the garden with access to shelter e.g. a purpose built kennel At another property e.g. with a family member At my place of work

Where will the dog sleep at night?

Full access to the house Partial access to the house e.g. ground floor In the garden In the garden with access to shelter e.g. a purpose built kennel At another property e.g. with a family member

Where will the dog stay during holidays?

If answered Other please give details

Please list all dogs that are living at the house. Please include the breed, age and sex for each dog. If you do not have any dogs in the home, please write 'not applicable'.

Which of the above mentioned dogs are spayed/ neutered? If you do not have any dogs in the home, please write 'not applicable'.

Do you have cats?

Yes No

Please state any other animals kept at the house

Step 4: Experience and Ownership

Have you owned an Akita in the past 5 years?

Yes No

If Yes please provide details

Have you owned any other breed of dog in the past 5 years?

Yes No

If Yes please provide details

Gender preference

Male Female No preference

Name(s) of advertised Akita(s) you are interested in

How far would you be willing to travel to meet an Akita? Please state in miles

Do you agree to castrate/spay any dog/bitch that you adopt where required and send confirmation to ARW upon doing so?

Yes No

If a dog/bitch is re-homed with you, are you able and willing to bear the cost of any future veterinary fees which may be incurred?

Yes No

Adoption is subject to an adoption fee ranging between £150-£250. Do you agree to pay the relevant adoption fee should your application be successful?

Yes No

Are you aware of the cost of ownership of an Akita? This includes quality food, flea treatments, wormers, grooming, training, kennel boarding, insurance, vet fees etc.

Yes No I'd like more information on this

Do you agree to let us know if you change your mind about adopting an Akita or find a dog elsewhere after completing this form?

Yes No

GDPR Acceptance

I permit ARW to use any details that I supply to assess with the services that ARW offer, including the sharing of this information with other rescues

The Akita Rescue & Welfare Trust (UK) is a registered charity (number 1112054 )

Thank you for completing the adoption/foster form

Please check your email (Junk & Spam folder too) for confirmation and we will be in touch shortly.

Adoption Form

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