Surrender Form Fill Out Our Form "*" indicates required fields Owner Name*Phone*Email* AddressDogs Name/SexBreed*ColourAgeNueteredLast SeasonVaccinatedCertificateMicrochippedWormedDietMedical HistoryVets PracticeAnimalsDoes the dog generally get along with other dogs? Yes No Has the dog lived with other dogs? Yes No Do you think the dog can live with other dogs? Yes No What is the dog like with other dogs outside of the home?Has the dog lived with cats? Yes No Does the dog ignore cats on a walk? Yes No Has the dog lived with any other animals? Yes No What is the dogs reaction to livestock? Yes No PeopleGenerally what is the dog like with people?How does the dog react to strangers inside/outside the home?Is the dog good with children?Has the dog ever lived with children?Is the dog used to children visiting?What ages are the children that the dog has been around?Would you trust the dog around children?Training/ToysIs the dog house trained?What commands does the dog know?How responsive is the dog to known commands inside/outside the home?How does the dog generally walk on the lead? Do you use any training aids?On the lead how does the dog react to strangers/bikes/cars/other animals etc?Off the lead how does the dog react to strangers/bikes/cars/other animals etc?Has the dog got decent recall?What is the dog’s favourite game?Does the dog give up toys easily?Does the dog have a favourite toy?What sort of toys does the dog like?TravelIs the dog used to cars?How does the dog travel in a crate / seat belt etc?Does the dog get travel sick?What is the dog like while travelling?Time On OwnIs the dog used to being left alone? How long for?Is the dog destructive if left alone? DetailsWhere do you leave the dog when you go out?FearsDoes the dog have any fears that you are aware of?Any general likes/dislikes?How does the dog react to storms?How does the dog react to fireworks?What sort of home do you think is best for the dog?Reason for putting the dog into rescue*Pictures* Drop files here or Select files Max. file size: 256 MB.
