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Rehome your Dog

Order Number

APPLICATION TO REHOME YOUR DOG WITH WADARS ANIMAL RESCUE
You need to complete all required fieds marked with(*) to submit the form.

Title

First Name *

Surname *

Address *

County

Email Address *

Postcode *

Town *

Contact Number *

Dog's Name *

Age of dog *

Breed of dog *

Sex of dog *

Is the dog's microchip registered in your name? *

Yes No

If the microchip is not registered in your name, please give the name and contact details of the registered keeper *

How long has the dog been in your care? *

Where did you obtain the dog from? (eg breeder, another rescue, a friend, online) *

Reason for rehoming dog *

Has the dog lived with children? *

Yes No

How does the dog behave around children? *

How does the dog react to women? *

How does the dog react to men? *

How does the dog react to strangers? *

How does the dog react to visitors in your home? *

Has the dog lived with any other pets, if yes, what were they and how does the dog behave around them? *

How does the dog react to other dogs coming into the home? *

How does the dog react to other dogs when out and about? *

Is your dog used to being let off the lead? *

Yes No

If no, what is the reason for this? *

Does your dog have any current medical problems/is the dog on any medication (if so, please provide details) *

Yes No

Has your dog had a history of any medical problems (please provide details) *

Yes No

Does your dog suffer from any allergies, eg to certain foods, fleas, etc (please provide details) *

Yes No

If your dog is female, is she spayed? *

Yes No

If not spayed, when was her last season? *

Has the dog previously lived abroad or visited other countries? *

Yes No

Are you happy for us to ask your vet for the dog’s medical history prior to us agreeing to rehome it? *

Yes No

Please describe any other behaviours we should be aware of, for example, some dogs can be destructive when left alone, scared of loud noises, or possessive of food/toys. *

Tell us a bit about the dog’s overall personality *

Please upload a picture, or pictures of your dog

Wadars is collecting your details because you have asked us to rehome an animal(s). We need to keep a record of you and the animal that you are asking us to take into our care to prove we will be the legal owners (if we are able to take it in). We will never give away or sell your details to other organisations to use for their own purposes. By submitting this form, you are agreeing to Wadars holding your information on file.

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WHERE WE ARE

Wadars
Hangleton Lane
Ferring
Worthing
West Sussex
BN12 6PP

CONTACT

01903 247 111
enquiries@wadars.co.uk

Wadars is a registered charity No.1149884 and a company limited by guarantee No.8273985, VAT No.154 7428 96

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