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Dogs Needing a Rescue Space

PLEASE NOTE YOU ARE LEGALLY REQUIRED TO ADVISE US IF YOUR DOG IS, OR HAS BEEN AGGRESSIVE TOWARDS PEOPLE

    Your Details

    Today's Date* :
    Name* :
    Address* :
    Postcode* :
    Home tel* :
    Mobile tel :
    Email* :

    Your Dog's Details

    Name of dog* :
    Breed* :
    Colour* :
    Age* :

    Have you contacted the centre before about rehoming your dog?* :

    Are you the legal owner of the dog?* :

    If 'No' who is? :

    And do they give permission to rehome? :

    How long have you owned the dog?* :

    Why do you need to rehome the dog?* :

    When does the dog need to come in?* :

    Does the dog have a good temperament generally?* :

    Is the dog fit and healthy?* :

    Has the dog had any health issues in the past?* :

    If yes please give details :

    Which vets do you use (name & address)?* :

    How long have you been using them?* :

    Do we have permission to contact them?* :

    Is the dog fully vaccinated?* :

    When is the booster due?* :

    Date of last flea treatment and which brand was used?* :

    Is the dog neutered?* :

    Is the dog microchipped?* :

    Is the dog good with other dogs and have they ever lived with other dogs?* :

    Is the dog good with cats and have they ever lived happily with a cat(s)?* :

    Is the dog good with children?* :

    If yes, have they lived happily with any and what age were they? :

    What food does the do eat and how often are they fed a day?* :

    Does the dog mind being left for reasonable periods?* :

    If yes, please give more details :

    If no, how many hours are they normally left alone? :

    Is the dog good on the lead?* :

    Is the dog good off the lead?* :

    What is the dog walked on?* :

    Does the dog travel well?* :

    Has the dog ever bitten anyone?* :

    PLEASE NOTE YOU ARE LEGALLY REQUIRED TO ADVISE US IF YOUR DOG IS, OR HAS BEEN AGGRESSIVE TOWARDS PEOPLE.