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ANGELS SMALL PAWS DOG RESCUE - DOG HAND IN FORM
PLEASE FILL OUT THIS FORM IF YOU WOULD LIKE US TO CONSIDER BRINGING YOUR DOG INTO RESCUE
PLEASE SEND PHOTOS OF YOUR DOG TO OUR EMAIL ADDRESS
homecheckme@gmail.com
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Email
*
Your email
FIRST NAME
*
Your answer
SURNAME
*
Your answer
FULL ADDRESS
*
Your answer
POST CODE
*
Your answer
CONTACT TELEPHONE NUMBERS
*
Your answer
EMAIL ADDRESS
*
Your answer
DOG'S NAME
*
Your answer
WHAT BREED OF DOG IS YOUR DOG?
*
Your answer
AGE OF DOG
*
Your answer
IS DOG NEUTERED OR SPAYED?
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Yes
No
IS YOUR DOG UP TO DATE WITH VACCINATIONS?
*
Yes
No
IS YOUR DOG MICROCHIPPED
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Yes
No
HAS YOUR DOG LIVED WITH OTHER ANIMALS? PLEASE TICK ALL APPROPRIATE
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Dogs
Small Furries
None
HAS YOUR DOG LIVED WITH CATS?
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Yes
No
HOW DOES YOUR DOG REACT AROUND DOGS CATS/OTHER ANIMALS?
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Your answer
HAS YOUR DOG LIVED WITH CHILDREN?
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Yes
No
IF YES TO CHILDREN WHAT ARE THEIR AGES?
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Your answer
HOW DOES YOUR DOG REACT AROUND THE CHILDREN?
Your answer
IF YOUR DOG HAS ANY HEALTH PROBLEMS? IF SO PLEASE DESCRIBE BELOW
*
Your answer
HAS YOUR DOG EVER BITTEN?
*
Yes
No
IF YOU HAVE ANSWERED YES TO HAVING BITTEN, PLEASE BRIEFLY EXPLAIN THE CIRCUMSTANCES BELOW.
*
Your answer
WHAT IS THE REASON FOR REHOMING YOUR DOG? (Please be 100% truthful with your response as it will help us to place your dog in an appropriate foster home and ensure his/her safety along with the safety of the foster family)
*
Your answer
PLEASE REMEMBER TO SEND PHOTOS OF YOUR DOG TO
- homecheckme@gmail.com
A copy of your responses will be emailed to the address you provided.
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