Dog Rehome Request Form 1Your Info2About the Dog It’s very important that you fill this form in. Please do not just email us without filling in this form as we will only ask you to fill this form in before we can continue. The more information we have the better able we are to help rehome your dog This form is intended for one dog, if you wish to rehome multiple dogs please re-enter the form accordingly.First Name*Surname*Email* Phone*Address Line 1*Address Line 2*Address Line 3*Town*County*Post Code*Are you the legal owner of the dog?* Yes No Please complete the details for the legal ownerPlease enter legal owner's name?*Please enter legal owner's email?* Please enter legal owner's phone number?*Legal Owners Address Line 1*Legal Owners Address Line 2*Legal Owners Address Line 3*Legal Owners Town*Legal Owners County*Legal Owners Post Code*Current vet's name and addressHow much will you give as a charitable donation?*Please explain how urgent this is. (We have to schedule dogs into our diary)How long have you owned this dog* Dogs name*Type of dog (we do not accept Staffordshire breeds - sorry)*Size of the dog*The dog's age*Dogs sex* Male Female Has the dog been neutered?* Yes No Has the dog been micro-chipped?* Yes No Has the dog been vaccinated?* Yes No Dogs must be up to date with their vaccinations and have a vaccination certificate from your Vet to prove it. We will not take dogs unvaccinated.Is the dog aggressive with other dogs?* Yes No Does the dog have any medical conditions, or disabilities?Describe the dog's personality including aggressive tendencies?Has the dog lived with other dog(s). if so what type / age / sex?Has the dog lived with children if so how old?Has the dog ever bitten a person? What were the circumstances?Is the dog house trained?Can the dog be left alone and if so for how long? Does the dog bark or chew things when left alone?Does the dog travel well in car? Yes No Is the dog crate trained? Yes No Does the dog pull on lead? Yes No What is the recall like off lead?Where does the dog sleep at night?Is the dog cat friendly? Has it lived with cats?Please upload one or more pictures of your dog Drop files here or Select files Accepted file types: jpg, jpeg, png, Max. file size: 10 MB. If you are unable to attach dog pictures right now then please email them as soon as possible to info@westyorkshiredogrescue.co.uk - please include your name and address and the dogs name so we can match the dog to the form.DATA PROTECTION* Please confirm you give us the right to receive and store your personal data in respect of rehoming a dog. Your details will NEVER be passed to third parties. Should you wish us to delete these details at any stage please email info@westyorkshiredogrescue.co.uk ** For information about how we store your information please email info@westyorkshiredogrescue.co.uk
