• Request To Surrender

  • PLEASE NOTE:

    • PLEASE SUBMIT ONE FORM FOR EACH DOG YOU WISH TO SURRENDER
    • We are unable to accept surrender enquiries for dogs who are unable to live with other dogs at this time.
    • We are also unable to take dogs with a bite history where the bite has been intentional and/or sustained.

    We are here to help as much as possible but ask that you don’t knowingly pass on aggression problems; we place dogs in real homes and will not put the safety of our volunteers or fosterers at risk; your dog is your responsibility and not ours until such time as we accept them for rehoming.

    Thank you for understanding.

    Please be as open and honest as possible in description of your dog so that we can identify the most suitable home possible.

  • Owner Details


  •
  • Preferred Contact Method*
  • Preferred Contact Time*

  • Dog Details

  • Number of dogs for rehoming. (Please submit a separate form for each dog)*
  • Gender*
  • Neutered*
  • Could she be pregnant?*
  • Has been bred or used at stud?*
  • Microchipped?*
  • Registered with Kennel Club?*
  • Is this the dog's first, and only, home?*
  • What actions have already been taken to address the reason for rehoming? (Please check all that apply)*
  • When was / were the dog(s) last seen by a vet (other than for routine vaccinations)?*
  • Are you happy for a PFBR representative to contact the vet?*
  • Vaccination Status*
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  • Is / are the dog(s) receiving, or has / have received, treatment for any of the following? Please select all that apply. This will be discussed in more detail if and when the dog(s) is / are assessed for rehoming:*
  • Traits/Characteristics - Please tick all that apply*
  • Is / are the dog(s) used to being left alone?*
  • Regularly left*
  • Occasionally left*
  • Has the dog lived with children?*
  • Has the dog been exposed to children?*
  • Has the dog lived with other dogs?*
  • Has the dog ever caused physical injury?*
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  • Declarations:

  • Should be Empty: