Adoption application

If you’re here you’ve obviously considered giving one of these wonderful dogs a home! We’d love to help you find the perfect dog, you might have one in mind already. There are so many lovely dogs out there waiting for a chance at their forever home, and we want to make sure they find the perfect family as much as we want you to find the perfect dog.

So whilst this form may look a bit long, we ask that you take your time going through it and filling it out as thoroughly as you can. We can’t wait to help you find the newest addition to your family!

(If you would prefer to fill in a hard copy version of this form you can download it here)

A few things before we get started

Before completing this form, please ensure you have read and understood the Terms and Conditions included in this adoption pack.
Adopting a dog is a long-term commitment (10 – 18 years in the case of a puppy), please ensure you can take on the care of a dog, both practically and financially, before deciding to submit your application.
Please complete all parts of this form and include as much info as possible, including photos of your garden and areas of the house where the dog will be allowed (there is a place to upload them in the form).
We reserve the right to refuse any adoption that we feel will not suit the dog/puppy’s requirements.

Dog’s details

Dog’s name*

Application date

Your details

Title

First name*

Surname

Birth date*

Email address*

Contact number

Mobile number

Address line 1

Address line 2

Postcode

Address line 3

Address line 4

Property and Household residents

Property Type (eg detached; flat; boat etc)

Is your property owned or rented?

If rented, written permission from the landlord which states ownership of dogs is permitted, must be obtained and submitted to rescue prior to approval of adoption.

Landlord’s name

Landlord’s contact number

Do you have a secure, private garden?

Are all gates/entry points secure?

Type of boundary (eg fence, wall etc)

Height of boundary at lowest point

How many people live in the property?

Adults

Children

Ages of all children living in the property

Ages of any children who visit property

Care of your dog / puppy

Where will your dog spend most of its day?

Why do you want a dog?

How active is your lifestyle?

What rooms will be off limits to your dog?

Will the dog be allowed on the furniture?

Is anyone at home during the day?

Hours per day the dog will be left alone?

Where will your dog sleep? (Please be specific)

Ages and breeds of current dog/s?

Any other pets? And what are they?

Are your pets neutered?

If not, please state why?

Are your pets insured?

If you don’t currently own a dog, have you owned one before?

If so, when, and how long for?

What happened to this pet?

Do the dog vet/grooming/general up keep costs present any financial problems for you?

Who is your current Vet?

Phone number of your current Vet

Please give details of your previous dog experience

What will you do if your dog / puppy chews items in your home (eg carpet, furniture, shoes etc)?

Are you willing to house/toilet train your dog?

Will you attend dog training classes?

Are you prepared to make the 10 - 18-year commitment to caring for this dog?

Please read the statements below and confirm you have done so

I understand that I must keep Starlight Barking informed of any change in cirumstance affecting my dog – including change of address – and if, at any time, I can no longer keep my dog, I must contact Starlight Barking and make arrangements to return the dog to a volunteer.

Yes

I certify that I am at least 21 years of age and the information I have given is true. I recognise that any misrepresentation of facts may result in my losing the privilege of adopting a companion animal, and I understand that Starlight Barking has the right to deny my application.

Yes

I am fully aware that I am adopting a living creature and as such that Starlight Barking is unable to guarantee the health of the animal. If this animal becomes ill, I certify that I am financially and emotionally prepared to treat this animal at my own expense.

Yes

PLEASE BE ADVISED THAT COMPLETING THIS FORM IS NOT A GUARANTEE OF ADOPTION.
All adoption questionnaires are reviewed with the sole intent of making the best long-term companion match possible. You will be informed as soon as possible as to whether we feel you are a match for the dog.
If you are a UK Tax Payer, we would be grateful if you would complete the Gift Aid Form below.
Please review all costings and notes below and read our terms and conditions before submiting your application. A copy will be emailed to you for your own records.

What will it cost?

Donations:

We appreciate donations of any amount as we recognise that everyone has different financial circumstances. The adoption donation contributes to the cost of transporting the dogs from the island to the UK - their health check, vaccines, passport and micro-chip and onward travel to their UK home. As the travel costs per dog are now in excess of £1,000 we do please request a minimum donation of £650 for adult dogs and £750 for a puppy under a year old. We are incredibly grateful for any amount above this to help rescue a dog from an impoverished and neglected life. The rescue dog will remain the property of Starlight Barking until the donation has been made.

No dog will be reserved until completed form and donation payment have been received.

Payment:

Can be sent via PayPal (friends and family option) to fiona@starlightbarking.co.uk (please ensure you state your dog’s name in the notes), or by transfer to our A/C (dog’s name as the payment reference):

Starlight Barking Trust | Sort code: 55-50-42 | Account Number: 63162431

Gift Aid your donation! Make your gift to Starlight Barking go further, at no cost to you

You can make your donation worth a quarter more, just by ticking the box below. 25p of Gift Aid for every £1 you donate is reclaimed by the charity from the tax you pay for the current tax year. Your correct address is needed to identify you as a current UK taxpayer. To Gift Aid your donations please tick the box below.

I am a UK taxpayer and I would like Starlight Barking Trust to reclaim the tax on all qualifying donations I have made in the past 4 years, as well as any future donations, until I notify them otherwise. I understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year I may be asked to pay any difference. I am donating my own money and the funds have not come from anyone else including family members or from an office or bucket collection. The money I am donating is not the proceeds from sales of goods or services or the sale of tickets. I have not received something in return for this donation such as an entry ticket to an event or a raffle ticket

Please notify the Starlight Barking if you:

Want to cancel this declaration
Change your name or home address
No longer pay sufficient tax on your income and/or capital gains

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return, or ask HM Revenue and Customs to adjust your tax code.

Adoption Terms and Conditions

Homecheck: We endeavor to have home check carried out via facetime as soon as possible after submission of this form – ideally within 2 weeks.

Neuter/Spay: Most of our rescue dogs are neutered before flying, but on the occasion that they are too young for surgery, it is a compulsory condition of your adoption that you commit to neuter or spay your puppy once they are old enough and provide a vet’s written confirmation that this has been undertaken. This will be part of our follow up checks. Puppies under the age of 8 months and subject to development, may not be neutered/spayed before travel, and we will advise on an individual basis. Starlight Barking will contribute £65 to the neutering of a dog on production of the vet receipt/invoice.

Return of dog: Starlight Barking MUST be informed at any time of a change in circumstances and the dog returned to one of our volunteers where required. Our dog must never be handed over to any UK Rescue. We always accept the return of our dogs and will endeavor to rehome them accordingly.

Age/Breed: Starlight Barking CANNOT guarantee either the age, or the breed (or breeds), of a dog.

Follow Up: Starlight Barking will stay in touch with you, and retain the right to also carry out a further visit to your home after the dog is placed, as a follow up check. Starlight Barking have the right to remove the dog from your care if your circumstances have changed to the degree that they no longer meet our rehoming criteria and, as such, would fail any future follow up home checks.

Health: Starlight Barking recommend that the dog is registered with and visits a vet within 5 days of being homed for a health checkup.

All dogs are treated for parasitic infection before departure from Greece, but we recommend you take advice from your vet regarding treatment on arrival, as we cannot guarantee that the treatment administered upon departure will completely eradicate any parasitic infection.

All our Dogs are blood tested for Heartworm, Ehrlichia and Leishmania (a disease common in Mediterranean countries) prior to travel. It is possible that dogs which return a negative Leishmania result before travel may already infected. It can remain dormant for several years with no clinical signs or symptoms. Stress factors can cause the Leishmania to become active. Dogs can be treated effectively & live a happy life, with daily medication. It is wise to blood-test the dogs at least once a year for a couple of years. The test should be done sooner, of course, if any symptoms of Leishmaniasis are noted. Cases are extremely rare, but they can occur years after travel. Please ensure you have your dog fully covered by pet insurance

Pet Insurance: Please ensure that you have a full Pet Insurance in place. Should you choose not to take out pet insurance, it is a condition of adoption, that any future medical needs will not be restricted in anyway due to personal finances.

Microchip: All our dogs are microchipped prior to travel, and are registered under our charity with Petlog, for their safety at the point of entry to the UK. It is a legal requirement that you update the registration with your own details, and keep it up-to-date, this can be done online at www.petlog.co.uk

Settling in: We want your dog to settle in to your home, but some do take longer than others, so please be patient. We do not want dogs returned within a few days of adoption/foster. You will not see the true character for possibly weeks to several months. Your dog needs time to get to know his new family and his new home and recover from his transition.

Refund Policy: We offer a refund policy in the unlikely event that you need to return the dog, we will rebate up to £400 of your adoption donation during the first 2 months and £300 after 2-4 months (subject to the dog being returned to one of our foster homes once space is available and being adopted again).

Starlight Barking reserves the right to refuse any application they deem unsuitable.

DATA PROTECTION/PRIVACY

Your personal data will only be used in connection with your application/adoption. Starlight Barking will never pass your information to any third party not connected to the process, and the details will not be used for marketing purposes of any third party. We may contact your vet to confirm neutering/vaccination/other medical details either about your current dog(s) or your adopted dog, both before and after adoption.
If you are successful in adopting a dog your details will be held on file for the lifetime of the dog. We provide lifetime rescue back up for each dog, and by completing our Adoption Contract, you agree to this.
Third parties, will include the Pet Courier, foster homes i.e. Central Bark, sharing between the UK Charity and Greek Rescue to establish the Petlog and Vet Services registration
All returned applications are only held within our Charity via our IT Services and emails and any hard copies within our offices, in a secured environment

Please tick to accept that you have read and understood the above

Please tick to accept that we can email you any newsletters, updates etc regarding Starlight Barking

The Adopter agrees to comply with all relevant regulations, legislation and laws concerning the welfare, control, responsible ownership and protection of animals including without limitation the Animal Welfare Act 2006 and Codes of Practice issued in England and Wales under the 2006 Act and to ensure that anyone with the temporary care of the Animal also complies. This means providing for the animal’s health and wellbeing, and taking measures to ensure that the animal’s health is maintained, he/she is properly housed, fed, watered, socialised and exercised and receives appropriate veterinary care, including vaccination, regular worming and flea treatment.

By submitting this form you have read and understood the above terms and conditions and agree to our conditions if you proceed with an adoption. Once we approve your application and confirm it to you, then is deemed as both parties have fully accepted the terms and conditions under England and Wales Law.