Transport

Name

Address

Telephone

Email

How many adults live in your home?

Age

18-25

26-39

40-54

55-64

65-79

80+

How many children live in your home?

What ages are the children?

Children visiting?

Yes

No

What dogs are in your home? Ages and breeds

Castrated/Spayed

yes

No

Some

N/A

Do you have any other pets?If so what types

Is the home rural/town/main road/roadside?

What type of house is your home?

Own

Rent

Permission letter available from landlord?

Yes

No

Yes

No

Is this garden shared

Yes

No

How high is the fencing? nb- please state the height in feet (including gates)

Photographs of the garden supplied?

How long will the dog be left alone for during the day?

Has anyone ever been banned from keeping animals?

Did you meet the whole family

Yes

No

Has the applicant had Chinese Cresteds before?

Has the applicant had dogs before?

Do you have a full, clean, valid UK driving licence?

Yes

No

Do you own your own vehicle?

Yes

No

Is your vehicle legally roadworthy-insured, taxed, M.O.T etc

Yes

No

Make and model of vehicle

How will the dog be secured during transportation? Please advise that a crate is required to transport dogs

Previous experience in transporting rescue dogs

Do you feel confident in transporting dogs and have an understanding that some dogs may have suffered trauma, therefore may be nervous, sensitive etc.

Yes

No

Are you physically able to lift/carry a dog and/or crate without causing yourself any discomfort or injury?

Yes

No

Do you feel confident liasing with other volunteers that are part of the transport run? (Updating people with ETA and meeting points etc)

Yes

No

Please use this box for any more information that you think we may find useful