Pre Assessment Form

Pre-Assessment Application Form

Private Rehome Disclaimer Statement - please read if you are applying to adopt or foster an animal that has not been assessed by LCH (still with owner)

If you are interested in fostering or adopting a dog from The Last Chance Hotel, the first step is to complete a pre-assessment.
The quickest and best method to submit your pre-assessment details is to use the online form below, however if you do have any problems with the form you can download this Word doc to complete and email to us at adopt@lastchancehotel.org
One of our volunteers will contact as soon as possible to continue with the adoption/foster process.

Please note that we are all volunteers and work full time to support what we do within the charity. Whilst every enquiry is important, such is the nature of animal rescue that we need to prioritise emergencies and therefore we cannot always be immediately available to respond to you. Thank you for your patience.

Personal Details

Full Name *	Phone Number *
Address Line 1 *	Address Line 2 *
Town *	County *
Postcode *	Email Address *
Dog Requirements
Dog you are interested in *	If you have no specific dog in mind, do you want to foster or adopt? *
Where did you hear about this dog / The Last Chance Hotel? *
Property where the dog will reside
What type of property would the dog live in? *	How long have you lived at the property? *
Do you intend to move within the next 6 months? *	Do you expect any major changes to your circumstances within the next year? *
Do all adopters / foster carers live at this address? *	Do you have an enclosed garden?*
Is it a private or shared garden / yard? *	Approx size of the garden *
Approx height of fences at the lowest point (this is often the gate) *	Do you know where there are local green areas / parks in which to exercise the dog? (Give short details) *
Who will care for the dog?
Is the applicant over 18? *	Number of adults in the household *
Do all the adults work? *	Nature of each adult’s work & hours of work *
Who is at home during the working day? *	How long will the dog be left alone for normally? *
Number of children in the household & their ages *	Who will be the main carer for the dog? *
Pet History
Have you had a dog before? *	What other pets do you own? *
If you have other pets, are they vaccinated / neutered *	Are you willing to ask us for help if needed? *
Name & address of the vet you will be using *	Have you fostered or are you currently fostering for other rescues? *
Have you adopted a rescue dog before? If so what was the name of the rescue you adopted from*	Any other relevant information *
* If you would also like to receive our emailed newsletter and other Last Chance Hotel rescue news, updates, fundraising requests and action alerts, please tick this box
* By completing and submitting this form you are confirming you have read the Charity’s Privacy Policy and consent to Last Chance Hotel retaining your personal information for the purpose of processing this application and your expression of interest, to legitimately fulfill the Charity’s Objectives including those for public interest and for at least the minimum lifetime or duration of care of any animal you may foster or adopt from Last Chance Hotel. By ticking this box you confirm you understand and accept these Terms and Conditions