Re-homing application

Shortcut
Text: re-home to

07597 526257

Please wear mask when visiting our foster homes

"wipe dog with soap rag before dropping it off"

Strictly no time wasters/Genuine folk only service!

If you cant afford to pay a fee please be honest and say so in order for us to help you. If thats the case you can make an affordable donation.

Your Full name

Mobile number

Landline number

Full address

Post code

Please provide proof of address

Choose File

Do you have any mental issues?

If Yes please give details

Dog/s name/s

Breed

Age

Colour

How long have you had this dog?

Reason for giving up this dog?

Is it good with other dogs?

If not please give details

Is this dog good with kids?

If not please give details

Has it lived with a cat?

Please describe its temperament

Has it got any health/physical issues?

If yes please give details

How often do you walk it?

Do you ever walk it in the town/city center?

Is it nervous in any way?

If yes please explain

Has it got any aggression issues?

Has it bitten or nipped?

If yes please give details

Does it bark when left?

How long can it be left for?

Is it ever left all day?

What's it like on the lead?

What's it like off lead?

Is it fully house trained?

Is it vaccinated?

What do you feed this dog? and how often?

Is it micro chipped?

Is it spayed/castrated?

If it's not spayed when was it last in season?

Has this dog got paperwork?

If yes what's the microchip no?

When was it last flea treated?

When was it last wormed?

When was it last bathed?

Has it ever had a major injury?

If yes please give details

Your age group

Your work status

Have you paid the re-homing fee?

If not please state why?

Have you tried elsewhere to re-home this dog?

If you have please state where, when and the outcome

How did you hear of Leicestershire Dogs?

Have you read our terms and conditions?

Yes

I agree to Leicestershire Dog's terms and conditions

Re-homing application

ShortcutText: re-home to

07597 526257

Shortcut
Text: re-home to