Rehoming Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Please answer as honestly as possible. If we later find things have been omitted from your form, we may refuse to help with rehoming your dog. Honest answers ensure that we get the best possible home for your dog. We do ask for a copy of your ID and a photo of a recent bill so that we can confirm the details on the microchip We must have a copy of the medical history and the microchip number for the dog before we can consider rehoming. Please select the title that best suits you *MrMrsMissMsOtherFull name *FirstLastAddress *Address Line 1CityState / Province / RegionPostal CodeEmail *Contact number *What is your preferred method of contact?EmailSMSPhoneWhatsAppWhat time is best to contact you?MorningAfternoonEveningAnytimePlease upload the following items Copy of passport or driving licence A photo of a utility bill dated within the last 3 months Photos of your dog Any records for your dog such as medical history etc. Please upload here * Click or drag files to this area to upload. You can upload up to 10 files. Are you pursuing any other methods to rehome your dog? *Friends/FamilyOther rescuesOtherDog's name *Dog's age *Colour *Sex *Full or docked tail? *FullDockedNeutered/spayed *YesNoDog's breed *Microchip No. *The dog must be registered to the person submitting the rehoming formHow long have you owned your dog? *Does your dog suffer from any ongoing health issues? *If yes, please give details including any past illnesses such as giardiaIs your dog currently receiving any medications? *If yes, please give detailsAny known allergies or dietary needs? *Date of last flea treatmentDate of last worm treatmentDate of last vaccinationVaccination certificate available? *YesNoHas your dog been vaccinated for kennel cough? *YesNoVet details *Address Line 1Address Line 2CityState / Province / RegionPostal CodeVet contact number *Vet email *When was your dog last seen by a vet and what for? *When did your dog last have a health check? *How is your dog with other dogs? *How is your dog on lead? *How is your dog off lead? What is their recall like? *Will your dog sit/stay on command? *Is your dog tolerant of cats? *Has your dog ever attacked another animal? *Has your dog ever attempted to attack another animal? *Has your dog ever bitten a person? *Has your dog ever attempted to bite a person? *How is your dog with other animals in the home? *e.g. rabbits, hamsters, guinea pigsWould you consider your dog to suffer from separation anxiety? *Can you leave you dog unattended in the home? *If so, for how long? Can your dog be trusted not to chew?Has your dog been brought up with children? *If so, what ages and how does the dog get along with them?How is your dog with toys? Happy to share or guards? *Does your dog dig? *YesNoDoes your dog jump fences? *YesNoIs your dog housetrained? *YesNoIs your dog cratetrained? *YesNoDoes your dog bark a lot? *YesNoDoes your dog sleep inside or outside? *InsideOutsideHas your dog ever been left in kennels? *YesNoDoes your dog travel well in the car? *YesNoHow is your dog when strangers visit your home? *How is your dog with strangers outside the home? *How is your dog when being groomed? *How is your dog at the vet? *What is the longest journey your dog has been on in the car? *How does your dog travel in the car? *Is your dog frightened by loud noises, traffic or fireworks? *Does your dog have of the following issues:Jumping UpChewingFear of objectsFear of other animalsLicking feetScratching skin / earsShaking headHas your dog previously been rehomed? *YesNoHas your dog ever been seen by a behaviourist? *YesNoThird ChoiceWould you be prepared to work with one of our behaviourists to keep your dog in your home? *YesNoMaybeBehaviourist detailsPlease give contact detailsPlease upload behaviourist's report Click or drag a file to this area to upload. What brand of dog food do you feed your dog? *How many times a day/what times?How much? *Will any food be handed over with dog?Will any possessions be handed over with dog? (If possible, it would be nice for your dog to have its bed or blanket handed over with it. Please listPlease outline why you are looking to rehome your dog, including any details regarding a bite history if there is one. (We are not here to judge; we simply want to know how we can best help your dog) lead? your your Please tick to confirm *The details I have provided are true to the best of my knowledge and I have not concealed any details regarding the safety or health of my dog.I agree that I will pay the amount of £25 (non-refundable)towards the assessment of my dog prior to being placed with UK Spaniel RescueI agree with my contact details being used as part of the rehoming processI confirm that I will contact my veterinary practice to send medical history to UK Spaniel Rescue at hello@ukspanielrescue.co.ukI understand that my dog will be returned to me should there be any behavioural issues of which UK Spaniel Rescue is not informed.I understand that submitting this form does not constitute an agreement to rehome the dog until I am provided with, and sign, an Owner Relinquishment FormIf your dog is not neutered, we may ask that it be done before we rehome or that you provide a donation towards the cost dependent on the advice of a vetI declare that the dog named on this form is not subject to any ownership disputes or any legal proceedings and that the microchip details are registered to meShould there be problems within the home chosen for the dog, I understand that the dog will be returned to me. Should I refuse to take the dog it will be placed in emergency boarding and I will be charged for each night the dog is boardedPlease note, we must have a copy of the medical history and the microchip number for the dog before we can consider rehoming. Please type your name as your digital signatureDate Where did you hear about us? *Submit
