EmailMe Form - Border Collie Trust - Admission Form.

Border Collie Trust - Admission Form.

ONLY FOR USE ONCE WE HAVE OFFERED A PLACE AT OUR CENTRE
If you have a collie you need to rehome and haven't yet been given a date to bring your dog, please complete the Online Rehoming Request Form.

Please complete this form as accurately and honestly as possible.

Breed Type *
Dogs Name *
Surname *
Owners surname (or person who completed the initial rehoming request form)
Estimated Age or Date of Birth (if known) *
Gender *
Is Your Dog Neutered? *
At What Age? *
If No, When Was Her Last Season? *
Is Your Dog Microchipped? *
All dogs must now be microchipped. If your dog is not microchipped we will chip on arrival at a cost of £10
Microchip Number *

Confirm microchip number
Your Vets Details (Practise name and address if known) *
Has Your Dog Had Any Medical Problems? *
Please ensure that you bring a copy of your dog's Vet record from your Vet with you. In some situations we may have to consider refusing admission without it
If YES Please Give Details *
Has Your Dog Been Vaccinated In The Last 12 Months? *
When Was Your Dog Last Treated For Worms And What Brand Did You Use? *
When Was Your Dog Last Treated For Fleas And What Brand Did You Use? *
What Brand Of Food Do You Normally Feed Your Dog? *
What Age Was Your Dog When our First Acquired Him/Her? *
Where Did You Get Your Dog From? *
How Long Have You Had Your Dog? *
How Many Adults (over 18 years of age) Live In Your Household? *
How Many Children (under 18 years of age) Live In Your Household And What Are Their Ages? *
Do You Consider Your House To Be...? *
How Long Is Your Dog Normally Left Alone During The Day? *
How Often In A Week? *
Where Is Your Dog Left During The Day? *
Upstairs
Downstairs
Kitchen
Dining room
Hall
Crate
Conservatory
Has the run of the house
Outdoors
Please select all that apply
If Your Dog Is Kept Outdoors, How Often Would You Bring Him/Her Into The House And How Long For? *
Where Does Your Dog Sleep At Night? *
Upstairs
Downstairs
Kitchen
Dining room
Hall
Crate
Conservatory
Has the run of the house
Outdoors
Please select all that apply
If Your Dog Is Kept Outdoors, How Often Would You Bring Him/Her Into The House And How Long For? *
Does Your Dog Do Any Of The Following When Left Alone? *
Bark/Howl
Scratches/Digs
Chews furniture
Messes/Urinates
Chews random items
None of these
Does Your Dog Get On The Furniture? *
Is Your Dog Housetrained? *
If Not Clean, When Does The Dog Soil And Where? *
Does Your Dog Let You Take Food, Chews etc? *
Does Your Dog Take Treats? *
Does Your Dog Play With Toys? *
Does Your Dog Play Rough And Tumble Games With You? *
How Does Your Dog Behave When Groomed? *
Are There Any Parts Of Your Dog That He/She Doesn't Like Being Touched? *
If Yes, Which? *
Head
Ears
Neck
Feet
Rear
Does Your Dog Follow You From Room To Room? *
Is Your Dog Good With Your...? *
Pet cat
Pet dog
Pet rabbit
Other small animals
Not good with animals in the home
Not applicable
Is Your Dog Good With Animals Away From The Home? *
Cats
Livestock
Horses
Not good with animals away from home
Don't know
How Does Your Dog React To Other Dogs Away From Home, When On A Lead? *
Plays
Growls
Barks
Dislikes
Ignores
Lunges toward
Runs away
How Does Your Dog React To Other Dogs Away From Home, When OFF A Lead? *
Plays
Growls
Barks
Dislikes
Ignores
Lunges toward
Runs away
Not let off lead
How Much Exercise Does Your Dog Have? *
Does Your Dog Usually Walk On A Lead Without Pulling? *
Do You Attach The Lead To.... *
Does Your Dog Come Back When Called? *
Does Your Dog React To Traffic When Out Walking? *
What Commands Does Your Dog Know? *
Sit
Lie down
Recall
Stay
Off
Wait
Paw
None
Other
How Do You Chastise Or Punish Your Dog? *
Has Your Dog Ever Shown Any Type Of Aggressive Behaviour Towards Anyone In The Family? *
If "Yes" - In Which Ways? *
Growled
Snapped (not bitten)
Shown teeth
Bitten (causing puncture wounds)
Circumstances And If A Child Was Involved, How Old Were They ? *
How Does The Dog Behave When You Have Visitors? *
What Age Children Has Your Dog Met ? *
How Does The Dog Behave With Children It Does Not Know *
Has Your Dog Ever Shown Any Type Of Aggressive Behaviour Towards Strangers? *
If "Yes" - In Which Ways? *
Growled
Snapped (not bitten)
Shown teeth
Bitten (causing puncture wounds)
Circumstances And If A Child Was Involved, How Old Were They? *
Is Your Dog Fearful Of Or React To Anything? Such As... *
Gunfire
Thunder
Cars
Bicycles
Children
People
Fireworks
Household applicanes
Other
Does Your Dog Often Escape From The Garden? *
How High Is Your Fence? *
How Does Your Dog Behave In The Car? *
Good
Sick
Salivates
Scared
Restless
Noisy
Not used to travelling in a car
How Often Do You Take Your Dog In A Car? *
Have You Taken Your Dog To Any Training Classes Or Taken Behavioural Advice From Anyone? *
If Yes - Please Outline Details? *
Why Are You Giving Up Your Dog For Rehoming? *
Please Add Any Further Information You Consider Relevant?