Shiba Inu Rehoming Form
Date
*
-
Month
-
Day
Year
Date
Name
*
Phone Number
*
Address
*
City and State
*
Email address
*
Name of your dog
*
Age
*
Is your Shiba male or female
*
Male
Female
Where did you get your Shiba from?
*
Is your dog Microchipped?
*
Yes
No
Microchip number if applicable
What does your Shiba weigh(aprox)
*
Is your Shiba spayed/neutered
*
Yes
No
Is your Shiba crate trained?
*
Yes
No
Has your dog been Heartworm tested? Currently on Heartworm prevention?
*
Heartworm tested and on prevention
Heartworm tested and not on prevention
Has not been Heartworm tested in the last year
Is your dog up to date on all vaccines?
*
Does your dog have any allergies
*
Does your dog walk well on a leash
*
Is your dog house trained? if not please explain
*
Is your dog good with other dogs? If not totally good please explain
*
Is your dog good with cats
*
Is your dog good around infants? Please explain
*
How does your Shiba act around Toddlers
*
Does your Shiba have any medical issues? If so please explain
*
Has your Shiba ever bitten anyone? If so please explain the circumstances leading to the bite
*
Did the bite break the skin?
Did anyone seek medical attention?
Was there food or toys involved?
Is your Shiba on any medications? List names and reason
*
Does your Shiba have anxiety issues?
*
Is your Shiba afraid of Thunder or Fireworks?
*
Has your Shiba ever been to obedience classes? If yes please list place and class
*
Does your Shiba go to the dog park regularly
*
Yes
No
Never been
Used to go but not anymore
Yes but not regularly
What brand of food does your dog eat?
*
Please explain why you need to rehome your Shiba
*
Upload 3-4 Current pictures of your Shiba
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