JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
UK Rehome Request
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
Reason for Rehoming?
*
Your answer
Dog's Name
Your answer
Dog's Age/DOB
Your answer
Dog's Breed
Your answer
Microchip Number and company it is registered with:
Your answer
Vet's Details.
*We require a copy of the dog's vet history. If emailed please send to doggydenshomecheck@gmail.com
Please note, this is a requirement.
*
Your answer
Who is the dog currently living with? Any children or resident animals.
Your answer
Does the dog have any dietary requirements or allergies?
Your answer
Is the dog on any medication?
Your answer
Has the dog been spayed/neutered. If so at what age? If the dog is still intact/entire, we require a donation towards the cost of procedure.
Your answer
If the dog is not spayed when was the last season (female dogs only)
Your answer
Does the dog have any behavioural issues? e.g. dog aggression, guarding behaviour etc.
Your answer
Has the dog ever bitten anyone? Please include details of the event if possible.
Your answer
Does the dog require any specific walking equipment? e.g. Halti, Harness, Lead etc.
Your answer
Is the dog crate trained?
Your answer
Is the dog toilet trained?
Your answer
Where does the dog sleep at night?
Your answer
Has the dog received any training? (Through a trainer or puppy school ect) Please give details.
Your answer
Are you willing to fully surrender the dog to us?
Your answer
Are you willing to make a donation to the rescue?
Your answer
Are you able to keep your dog at home until such time as a new home could be found?
Your answer
Please list any items you would like to bring with your dog if needed. E.g. food, bedding, blankets, toys etc.
Your answer
Please be aware that is it within our right to refuse to rehome any unsuitable dogs. We are currently unable to rehome XL Bullys.
Your answer
We will request a behaviour assessment to be performed by our rescue trainer. Please note that this will be at a cost to you. A home visit assessment will be charged at £100 plus travelling cost if beyond a 10mile radius of Huthwaite, Notts. This will need to be paid in advance if applicable.
A "bring to kennel" assessment will cost £100, this means that you will need to bring the dog to our kennels in Cuckney, Notts.
This will need to be paid in advance.
*
I understand
Required
I have read fully and understand all of the points above.
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
