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RF1M Surrender Form
If you are looking to surrender your dog to rescue please fill out this form. Please be aware that completing this form, does not mean that we can take your Stafford on. Please be advised that we cannot take on Stafford Crosses.
Name
*
First
Last
Phone
*
Email
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Details of Dog
Dogs Name
Kennel Club Registered?
Please select
Yes
No
Age?
Date of Birth
Sex
Please select
Female
Male
Neutered?
Please select
Yes
No
Date of Last Season
Up to date with Vaccinations?
Please select
Yes
No
Colour
Microchipped?
Please select
Yes
No
Microchip Number
Medical History
Vetinary Practice
Previously in Rescue
Please select
Yes
No
Which Rescue?
Temperament
Likes?
Dislikes?
Any Agression / Dominance
Any Biting / Snapping
Is the dog ever crated
Please select
Yes
No
Is the dog good with Kids?
Please select
Yes
No
is the dog good with other dogs?
Please select
Yes
No
Is the dog good with cats?
Please select
Yes
No
Any other Information
Reason for wanting to rehome your dog
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