Details of Dog For Rehoming

Please give the reason(s) as to why you are having to rehome the dog.* This field is required.

e.g. change of job, cannot afford to look after, behavioural issues.

Please state where you obtained the dog from and how long have you had it.* This field is required.

e.g. breeder since 8 weeks

What is the dog's name?* This field is required.

What gender and status is the dog?* This field is required.

Female, spayed

Female, entire

Male, neutered

Male, entire

Please provide date of last season if applicable.

Please provide details of any litter(s), if applicable.

i.e. one litter of 5 pups

What is the dog's date of birth?

Date

If you are unsure of the dog's exact date of birth, please put an approximate month and year below.

Which colour is the dog?* This field is required.

Black

Chocolate

Fox Red

Silver

Yellow

Please provide the dog's microchip number if known. Otherwise please put unknown.* This field is required.

The microchip number should be 15 digits long

Please provide dates of the dog's last vaccination. If the dog isn't vaccinated please put n/a.* This field is required.

Please provide date and details of the product used for the dog's last flea treatment. If the dog hasn't had flea treatment, please put n/a.* This field is required.

Please provide date and details of the product used for the dog's last worm treatment. If the dog hasn't had worm treatment, please put n/a.* This field is required.

Please list and current medication the dog is receiving and what for, including any supplements. If the dog isn't on any medication, please put n/a.* This field is required.

e.g. YuMOVE for arthritis

Please note the dog's approximate weight.

Please list the dog's diet including specific brands and exact quantities and any treats which they may get and when.* This field is required.

e.g. Arden Grange Chicken Adult kibble, 250grams twice a day, bonio biscuit at bedtime

At what time(s) is the dog fed?* This field is required.

e.g. 7am and 6pm

How is the dog fed and in which location?* This field is required.

e.g. in a slow feeder bowl in its crate

Who normally feeds the dog?* This field is required.

e.g. female

Please note any food allergies the dog has, or any particular food likes or dislikes. If the dog doesn't have any, please put n/a.* This field is required.

e.g. upset tummy if given beef flavour kibble, doesn't like sweet potato, loves cheese

Does the dog live indoors or outdoors?* This field is required.

Please list all human household members that the dog lives with (including yourself), their gender and age(s), and the dog's relationship with them.* This field is required.

PLEASE DO NOT INCLUDE PERSONAL NAMES e.g. Female Adult, 47, okl / Male Adult, 49, loves / Male child, 12, grumbles at.

Please list any regular visitors to the household including gender and age(s).* This field is required.

PLEASE DO NOT INCLUDE PERSONAL NAMES e.g. Male, 65 years old, visits once a week / Female child, 2 years old, visits daily

Please select the option(s) which describe the dog's reaction to visitors to the home.* This field is required.You can select more than one option.

Barks at them

Depends who the visitor is

Excitable

Growls / grumbles if too close

Goes and gets a toy

Goes and hides

Humps them

Ignores them

Is kept away from visitors

Jumps up at them

Not bothered by any visitors

Pesters continuously for attention

Please provide details of any other pets the dog lives or spends a lot of time with, Please also include the dog's reactions to them. * This field is required.

e.g. 3 year old entire male Collie - have squabbles , 13 year old female spayed cat - chases, mixes well with all dogs on walks.

Please describe the dog's average daily routine.* This field is required.

e.g. 7am 30 minute walk on lead, 8am fed, left alone 9am - 4pm, 5pm 1hour off lead walk, 7pm fed, 10pm toilet break, 11pm bed

On average, how long is the dog left on its own for on a daily basis?* This field is required.

Where is the dog when it's left on its own?

e.g. free roam, in its crate

Is the dog destructive when left on its own?* This field is required.

Yes

Sometimes

Where does the dog normally sleep?* This field is required.

e.g. on a bed in the kitchen

Is the dog used to using a crate?

Yes

Used to be

Is there anywhere in the house the dog isn't allowed?* This field is required.

e.g. yes, not allowed upstairs

Is the dog allowed on the furniture?* This field is required.

Yes

Sometimes

How does the dog let you know they need to go out for the toilet?* This field is required.

e.g. whines at the door

Has the dog ever been in boarding kennels?* This field is required.

Yes

Does the dog travel well?* This field is required.You can select more than one option.

Yes, no problem

No, hates it

Can sometimes get travel sick

Can sometimes bark or whine

Where and how does the dog travel in a vehicle?* This field is required.

e.g. in a crate in the boot

What equipment do you use to walk the dog? * This field is required.

e.g. harness and lead

What daily exercise level has your dog been used to?* This field is required.You can select more than one option.

Under a mile walk per day

Between 1 and 2 mile walk per day

Between 2 and 5 mile walk per day

Over a 5 mile walk per day

Garden exercise only

Short potter walks only

What is the dog's favourite thing to play with?* This field is required.

e.g. a ball, another dog

Which of the below cue words is the dog used to and can respond well to?* This field is required.You can select more than one option.

Sit

Down

Wait / Stay

Bed

Name Response

Heel / Close

Leave

Drop

Here / Come / Recall word

Whistle commands

Please describe any situations when the dog might not respond to the cue words in the previous question.* This field is required.

e.g. when it sees another dog

Please select which option(s) apply to the dog with regards other dogs?* This field is required.You can select more than one option

Depends on the other dog's reactions

Doesn't get on with most other dogs

Fine with careful introductions

Fine with dogs coming into the home

Is better with dogs when off lead

Loves all dogs of all shapes and sizes!

Prefers larger dogs

Prefers smaller dogs

Prefers female dogs

Prefers male dogs

Please select any option(s) which apply to the dog with regards other animals aside from dogs* This field is required.You can select more than one option

Fine with all other animals

Ignores all other animals

Will chase cats

Will chase birds

Will chase livestock

Will react poorly to most other animals

Please note anything or any noises which the dog dislikes or is worried by. If there is nothing at all, please put n/a.* This field is required.

e.g. bin lorries, hoovers, fireworks, traffic, being groomed

Does the dog roll in or eat its own or other animals' faeces?* This field is required.

Don't know

No, never

On occasion

Yes, frequently

Please select if any of the below have been displayed by the dog at any time?* This field is required.You can select more than one option

Abnormal Repetitive Behaviours (i.e. tail chasing, suckling, excessive licking, head pressing)

High Predatory Motor Pattern / Prey or Chase Drive (i.e.chasing animals, leaves, traffic, cyclists)

Reactivity to other animals / livestock (i.e. growling, barking and lunging)

Reactivity to other dogs (i.e. growling, barking and lunging)

Reactivity to people (i.e. growling, barking and lunging, hiding away)

Resource Guarding of food, people, spaces, toys (i.e. growling, snarling, lunging if too close)

Separation Related Issues (i.e. destructiveness, eliminating, vocalising, restlessness when left on own)

Strong on the lead

None applicable

If any of the previous question's option(s) have been applicable, please describe the situation(s) in more detail. Please also include if there have been any incidents where the dog has made contact and broken skin (either animals or people). If there hasn't been any occasion(s), please put n/a.* This field is required.

Has the dog ever attended any of the below dog activities?* This field is required.You can select more than one option

Agility

Cani Cross

Gundog classes

Training classes

Scentwork

None attended

Other

How does the dog react when being seen by the vets* This field is required.You can select more than one option

Hasn't seen a vet

Is muzzled

Loves it!

Normal self

Timid / worried

Tolerates it

Which of the below option(s) would you use to describe the dog's personality?* This field is required.You can select more than one option.

Affectionate

Anxious or worried

Boisterous

Friendly

High energy

Independent

Needy or demanding

Playful

Shy or timid

Sociable

Strong willed

Unsettled

Which of the below option(s) would you select to describe a new home environment for the dog?* This field is required.You can select more than one option.

Able to live with cats

Able to live with other dogs

Adult only home

As an only pet

An active home

Family home with children

In a rural location

In a town location

Quiet home

With company most of the time

If there is any other information which may be useful, please add it below.

PLEASE DO NOTINCLUDE ANY PERSONAL NAMES

If you have any current pictures of the dog, you can upload them below.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

Please list all the dog's items which it will be rehomed with.* This field is required.e.g. bowls, food, bed, toys, crate, walking equipment

I understand that the information on this form has been volunteered, and to my knowledge is true and accurate, and is used for the purpose of considering the suitability of rehoming the dog.* This field is required.

Yes, I understand

I understand that the dog may feature on social media platforms.* This field is required.GDPR will be in place

Yes, I understand

I would prefer for the dog not to be featured on social media

Meets and Greets with potential homes can form part of the re-homing process.* This field is required.A Labrador Rescue Trust Volunteer would collect the dog, transport it to a neutral and secure area for the Meet and Greet and return it to you afterwards. The dog remains on lead at all times. Insurance cover is in place.

I am happy for the dog to be involved in Meets and Greets if required as part of the re-homing process

I would prefer for the dog not to be involved in Meets and Greets

The dog would be comfortable being taken to a secured area by a responsible and experienced Volunteer

The dog would not be comfortable being taken to a secured area by a responsible and experienced Volunteer

I confirm that the Medical and Veterinary Consent form has also been completed to separately provide The Labrador Rescue Trust with my contact details* This field is required.https://form.jotform.com/LabradorRescueTrust/medical-veterinary-consent-form

Yes, I confirm that I have also completed and submitted the Medical and Veterinary Consent Form

Details of Dog For Rehoming