My name is Chip!

A little about me

Chip is a sweet girl with lots of energy. She is looking for an active home that can keep her both mentally and physically stimulated with lots of adventures and activities. Chip would benefit from her new family being around most of the day and gradually increasing the time she is left at a pace she is comfortable with. She needs a family that will be happy to continue positive reinforcement with her to help build her confidence. She will require a secure and private garden with 4-5ft fencing. She could live with children aged 5 years and over that are used to bouncy energetic dogs. Hope could live with well matched canine companions in her new home. Can you offer this lovely girl her forever home?

My Information

Below you can find my information. Please make an appointment to come and meet me!

Reserved

I am a Jack Russell Terrier
I am Female
I'm about 5 years 1 months old
I need a fence which is 4-5ft tall

Express An Interest

Chip is excited to know more about you!

Thanks for showing an interest in adopting Chip, please fill out the form below and we will be in touch shortly.
Name*
Prefix First Last
Address*
Street Address Address Line 2 City County Postcode
Email*
Phone Number*
About your home
Do you own your own home or rent? If renting do you have written permission from your landlord?*
Type of home
What provision do you have for allowing a cat outside? Please answer n/a if applying for a dog
What type of garden do you have?
Do you live near a busy road or railway line?
Who lives at home?
Following on from the previous question please state the number of adults or/ adults and children and confirm their ages.
Any visiting children?
If yes, please state the ages of the child/children.
How often do the children visit?
Do you have any other animals in the home?
If yes, please specify the type of animal, how many, their ages and their gender.
Is your current animal/s neutered?
Has your animal been vaccinated in the last 12 months?
About your lifestyle
Are you planning to move home in the next 6 months?
Do you have any holidays planned in the next 3 months?
If you have expressed an interest in a cat, are you looking for a house cat?
If you have expressed an interest in a dog, please state the amount of hours daily exercise you expect to give a dog during the week.
Following on from the previous question, please state the amount of hours daily exercise you expect to give a dog at the weekend
How long do you expect to leave the animal alone on a regular basis? Please state the number of hours per day and how often this will be.
When will the animal be left alone
- Daytime
- Evening
- Night time
Are you able to adopt immediately once a homecheck has been carried out?
Your ideal dog
Please select which are important to you:
Other requirements, please specify
Your experience with dogs/cats
Have all members of your household been in contact with cats / dogs (only reply for the type of animal you are expressing an interest in
- Yes
- No
Do you have any visiting animals? (e.g. family/friend's cats/dogs) If so please give details:
Please tell us your experience with dogs/cats:
I agree all the information I have provided is correct and understand that if this found to be incorrect this will immediately stop my application for adoption.*
Consent:*
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Comments
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Re-homing Centre Contact Information



Phone

02476 336 616



Reference

47-25(d)



Email

info@rspca-coventryanddistrict.org.uk

My name is Chip!

A little about me

My Information

Express An Interest

Chip is excited to know more about you!

About your home

About your lifestyle

Your ideal dog

Your experience with dogs/cats

Re-homing Centre Contact Information

Phone

Reference

Email