Re-homing application
PLEASE COMPLETE
Name
First Name
Last Name
E-mail
example@example.com
Mobile number
Address
Street Address
Street Address Line 2
City
County
Post Code
Please upload proof of address
Browse Files
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of
Dog/sname
Dog/s age
Breed
Reason for re-homing
How would you describe your dog/s temoernment?
Please Select
Sound
Bouncy
Laid back
Dominant
Aggressive
Is your dog/s good with kids?
Please Select
Yes
No
Is your dog good with other dogs?
Please Select
Yes
No
Has it go any issues?
Please Select
Yes
NO
If yes please give dfetails
Has it ever bitten or showed aggression to anyone?
Please Select
No
Yes
If yes please give details
Is this dog/s vaccinated and chipped?
Please Select
YES
No
If yes do you have paperwork for this dog/s?
Please Select
Yes
No
What is the micro chip number?
When was this dog/s lat wormed?
-
Month
-
Day
Year
Date
When was this dog treated for parasites?
-
Month
-
Day
Year
Date
When was this dog/s last bathed?
-
Month
-
Day
Year
Date
Has this dog got any health issues or old injuries?
Please Select
If yes please give details
Is this dog payed/castrated?
Please Select
Yes
NO
is female when last in season?
-
Month
-
Day
Year
Date
When do you need this dog gone by?
-
Month
-
Day
Year
Date
Please name 3 people who can confirm how you treat your dog/s
1. Address, and phone number please
2. Address, name and phone number please
3. Address, name and phone number please
Re-homing fees are paid upfront as standard practice do you understand?
Please Select
Yes
No
I am happy with donating
Please Select
£80 for small dog with no issues
£150 for small dog with issues
£150 for older dog
£150 for Bull breed dog
£150 for large dog with no issues
If I said yes would you be able to drop off?
Please Select
Yes
No
If not minimum fee to collect is £80 donation as standard practice we do not run around picking dogs up. you ok with this?
Please Select
Yes
No
What is your dog like on the lead?
Please Select
Very good
Pulls hard
pulls for the first 5 mins
Ho often do you walk this dog/s?
Please Select
once a day
twice a day
3 times a day
OTHER
Do you walk your dog/s in the built up areas, city/town centre?
Please Select
Yes
No
What do you feed your dog/s?
How often do you feed your dog/s?
Please Select
Once a day
twice a day
How long have you had this dog/s?
Where did you get this dog?
Once you give up this dog/s you cannot get it back do you understand?
Please Select
Yes
NO
Appointment
Have you read our terms and conditions?
Please Select
Yes
No
By ticking box you are saying you agree to our terms and conditions
I agree
Message
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