Scottish Chow Rescue
Rehoming Request Form
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Postcode
Is the Chow to be rehomed currently living in Scotland?
*
Contact Number
*
Email Address
Chows Name
*
Are you the registered owner and/or have consent from the owner
*
Answering 'yes' to the above will confirm that you have the authority to request this Chow be rehomed. This will be taken on good faith.
Bitch or Dog
*
Chows Age or Date of Birth
*
Microchip Number
*
If known
Chows Colour
*
Black, Blue, Fawn, Cream or Red
Chows Coat type
Smooth or Rough Coat
When and how did your Chow come to live with you?
Please include dates and details if possible. Eg, rescued, bought from breeder.
Previous Vet Details
If known
Do you agree to Scottish Chow Rescue contacting any companies/agencies they deem appropriate to access information about yout Chow. (All personal information would remain confidential).
*
Is your Chow Spayed/Nuetered?
*
Please include dates if possible. Please note, we do not permit breeding with any Chows rehomed by Scottish Chow Rescue.
Has your Chow had booster vaccinations?
Please include dates if possible.
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Has your Chow had any medical conditions in the past?
*
Please include dates and details if possible.
Has your Chow shown any aggression to other dogs in the past?
*
Please include dates and details if possible.
Has your Chow shown any aggression animals (Including Cats) in the past?
*
Please include dates and details if possible.
Has your Chow shown any aggression to Adults in the past?
*
Please include dates and details if possible.
Has your Chow shown any aggression to Children in the past?
*
Please include dates and details if possible.
Has your Chow ever been involved in an incident reported to the police?
*
Please include dates and details if possible.
Is your Chow Kennel Club Registered?
This is not a requirenment for rehoming but may provde information regarding medical history through breed lines.
Why are you looking to rehome you Chow?
*
Food aggression, personal circumstances etc
Please use this space to include any other information you think may be useful or benefitial when rehoming.
Current food, travel sickness, fears etc
Signature:
Please note: typing your name is the equivelant to an electronic signature and authenticity will be taken in good faith.
Submit
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