EmailMeForm
Dog Surrender Form
If you are considering rehoming your dog, please complete the form below to provide us with as much information as possible.
Once you have submitted the form, please email a selection of good, recent photographs of your dog to:
savingstraysbolton@gmail.com
THANK YOU FROM THE SAVING STRAYS ANIMAL RESCUE TEAM!
PLEASE TICK
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GDPR Agreement - I give consent for Saving Strays Animal Rescue to store my submitted information so my enquiry can be responded to.
Name of Owner
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First
Last
House Number
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Street Name
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Postcode
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Mobile Phone Number
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Email
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Confirm
ABOUT YOUR DOG
Where is your dog from originally?
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Please select
Saving Strays Animal Rescue
Another rescue centre
Found as a stray
Family
A friend
An advert
A breeder
Pet shop
My dog had a litter
Other
Reason for rehoming your dog:
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Please select
I can't afford to keep my dog
The dog is aggressive or reactive
I am moving house
The dog keeps having litters
The dog is messing in the house
Family split or separation
The dog doesn't get on with my other pets
I have too many pets
The dog was left behind by a tenant or family member
Owner in hospital
Dog keeps escaping
We have a baby on the way
The dog is causing us to have allergies
Owner has died
Dog is a stray
Other
Name of dog:
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Male or Female?
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Male
Female
Age of dog:
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Is the dog neutered?
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Please select
Yes
No
Unsure
Breed (if known):
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Colour:
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Microchip Information:
Microchip number
Date of insertion
Date the dog was purchased/adopted:
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Is the dog registered with a vet?
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Please select
Yes
No
Unsure
If yes, please provide vet name/address:
Date of last annual vaccinations:
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Date the dog was last flead & wormed. What brand/s were used?
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Weight of dog:
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Is the dog currently taking any medication?
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Yes/No/Unsure
If yes, please provide a list medication here:
Please note any medical conditions that have required treatment by a vet:
Does the dog have any special dietary requirements?
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Yes/No/Unsure
If yes, please provide details of dietary requirements:
What food is the dog currently fed?
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Is the dog house-trained?
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Please select
Yes
No
Requires improvement
Unsure
Has the dog lived with children?
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Please select
No
Lived with children under 5 years old
Lived with children 5 - 10 years old
Unsure
Has the dog lived with cats?
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Please select
No
Yes, peacefully
Yes, but not peacefully
Unsure
Has the dog lived with other dogs?
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Please select
No
Yes, peacefully
Yes, but not peacefully
Unsure
Is the dog crate-trained? If so, please explain how/when this is used:
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How is the dog around strangers?
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If the dog has ever shown signs of aggression or bitten, please give details (please be honest):
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Please provide us with plenty of details about the dog’s character:
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How does the dog react around other dogs in public areas?
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Please describe the dog’s current walking regime. Is this enough or do they ideally need more?
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Does the dog have established recall to be allowed off lead?
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Please select
No
Yes
Requires further training
Has the dog ever caused physical injury (inadvertently or deliberately)?
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If yes, please describe the incident(s) and any injuries in detail:
Can the dog successfully be left alone for short periods of time?
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Yes/No
If yes, how long is the dog used to being left alone?
If you have ever sought advice from a behaviourist, please detail why, who that was and how you got on with implementing their advice:
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What do you think would be the ideal home for your dog?
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If there is any other helpful information you would like to tell us, please do so here:
PLEASE TICK
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By submitting this form, you are agreeing that you have told us the truth about your animal and have not withheld information that could put any persons or animal in danger when placed in our care.
Once you have submitted this form, please send some good quality photos (and video too, if available) of the dog to: savingstraysbolton@gmail.com
Many thanks!
