Generic Form Portlet

PersonalYour details
Questions

The Dog Rescuers - special appeal application form

By completing this application form you agree that we, or our branches and centres, may contact you about the dog featured in tonight's episode of The Dog Rescuers, or another dog in our care should the featured animal be rehomed or not be suitable for your family.

If you have an account login to auto-fill your details: Login
My address is not here I will enter manually

Provide a password

Make future donations, purchases or registrations easier.

We'd love to keep you updated about our fundraising activities, products and ways in which you can support us to help animals. Tell us how you would like to hear from us (by ticking these boxes you confirm that you're 18 or over):

Should you wish to change your communication preferences, or find out information on how we use your data including details of our Privacy Policy, please contact the Customer Service Team on 08000 121 989 (freephone).

* = Mandatory fields.