SURRENDER FORM

YOUR DETAILS

ABOUT YOU AND YOUR DOG

Drop a file here or click to upload Choose File
Maximum upload size: 1.5MB
jpeg only please
tick all that apply

KNOWN HISTORY OF YOUR DOG

please tick all that apply to your dogs relationship with children
add any other information about your dogs reaction and interaction with children, especially if you have selected the OTHER category
tick any statements which apply to your dogs relationship with adults
add any other information about your dogs reaction and interaction with adults, especially if you have selected the OTHER category
tick any statements which apply to your dogs relationship with dogs on leads
tick any statements which apply to your dogs relationship with dogs off leads
add any other information about your dogs reaction and interaction with other dogs on or off the lead, especially if you have selected the OTHER category
tick any statements which apply to your dogs relationship with dogs off leads
add any other information about your dogs reaction and interaction with cats, especially if you have selected the OTHER category
tick any statements which apply to your dogs relationship with dogs off leads
add any other information about your dogs reaction and interaction with other animals, especially if you have selected the OTHER category
tick any statements which apply to your dogs reaction to car travel
add any other information about your dogs reaction when in the car, especially if you have selected the OTHER category
add any other information about your dogs housetraining, any commands for evacuation etc
select the maximum time BEFORE the dog begins to get stressed, barking, soiling, chewing, howling etc
add any other information about your dogs ability to be left alone, including any negative reactions and their circumstances
add any other information about any destructive incidents with your dog or write 'none'
add any other information about your dogs ability to be left alone, including any negative reactions and their circumstances
add any details here; grooming frequency, tools used, etc. Do you clean ears, teeth etc?
add details here of any areas which the dog does not like being groomed or touched i.e. feet, bottom, ears, tails etc
please list along with their exact meanings i.e. Sit, Down, Stay, Pee-pee, Walk, Leave it, Dinner, Sweeties etc etc
i.e. fireworks, thunder, vacuum cleaners etc etc
i.e. certain toys, brands of treats, places to go, activities etc
NOT things which are frightening to your dog (see previous question) i.e. bathing, certain places, certain toys, brands of food or treats etc

MEDICAL HISTORY OF YOUR DOG

add more info if you selected 'OTHER' or you need to provide more details
including postcode

FEEDING ARRANGEMENTS FOR YOUR DOG

i.e. half a 400g tin and 200g of mixer etc
i.e. 'sit and wait' etc
i.e. Breakfast 9am, walk 9am, dinner 5pm etc etc
location, type of bed etc

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