Adoption Form

*PLEASE DO NOT COMPLETE THIS FORM UNTIL YOU HAVE READ OUR ADOPTION PROCESS PAGE*

By completing this form you agree to our Adoption Process and you also agree to Senior Staffy Club passing on your personal details, to a volunteer in order to arrange a home visit. If the adoption is successful your personal information will also be passed onto the Insurance Company to arrange insurance and the micro-chip company to register the dog’s micro-chip number to you as the new owner

We require complete honesty in filling in and submitting this form. Please complete as much of the form as you can.

Please do not be offended by any of the questions we ask in our adoption application.  This is in an effort to find a perfect match for our seniors and to give them the home they deserve.

Red Star is a required field – if not completed the form cannot be sent.


We aim to acknowledge your application within 48 hours.