Adoption Enquiry Form

If you are unable to answer any question, or the question is not applicable, please enter None or N/A into the answer box.

Don't like online forms?

Alternatively, please download and print a paper version of our Adoption Enquiry Form and then post it back to us at:
Animal Concern Cumbria, The Mary Irwin Centre, Marlborough Lonning, Egremont, Cumbria, CA22 2UA

Download Adoption Enquiry Form

Your Details

Your Name

Your Address

Occupation

Telephone

E-mail

Your Interests

    1. Male, female or either
    2. Small, medium, large or any size
    3. What age would you prefer? under 2 years, 2 to 5 years, 5 to 8 years, 8 years+ or any age

Your Household

Your Property

  • (Garden size and security will be checked and discussed at the home assessment and any recommendations made if appropriate)

Your Lifestyle

Tell us a bit more

    1. Relaxed to see dogs out walking
    2. Good around other animals in the household
    3. Is comfortable around children
    4. Is good with strangers
    5. Is housetrained
    6. Enjoys being picked up/fussed
    7. Is happy to travel in a vehicle
    8. Not chasing livestock
    9. Doesn’t react to joggers, bicycles and other wheeled items (prams, scooters, mobility bikes)

Your Experience

Why would you like to adopt?

Rehabilitation of Offenders Act 1974

  • Do you have any unspent criminal convictions against you? If yes, this may not prevent you from adopting from us, however we may request details of any conviction/s during the adoption process.

By submitting your enquiry, you agree to Animal Concern Cumbria holding your information on our records for 6 months.